A new idea from the brains bowels of a Massachusetts state commission.
Commission members said they will urge Governor Deval Patrick and the Legislature to replace the current system, in which insurers typically pay doctors and hospitals a negotiated fee for each individual procedure or visit, with a set payment for each patient that covers all that person’s care for an entire year.
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Massachusetts would be the first state to broadly adopt such a system, which would essentially put doctors and hospitals on a budget in an effort to restrain health spending.
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Legislators created the commission last year, directing it to identify ways to slow soaring healthcare costs in Massachusetts, where spending is growing by more than 8 percent annually, driven largely by the high price and heavy use of hospitals.
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The system pushes up costs because it encourages doctors and hospitals to do lots of procedures, and do those that are most profitable, even if they’re not always necessary, according to health policy analysts.
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“Massachusetts has recognized that its cost trends are unsustainable so something has to be done,” said Paul Ginsburg, president of the Center for Studying Health System Change, a Washington, D.C.-based policy group. But he said the proposed changes are “very ambitious.”
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The new payment system the commission expects to recommend has been tried before; it was known as “capitation” when it initially became popular under managed care in the 1980s and early 1990s. The system broke down when many small physician practices lost millions of dollars on very sick patients with high healthcare costs, and amid widespread concern that the system encouraged doctors to deny patients necessary care so they could stay within their budgets.
Oh yay!! About time they clamped down on them there hospitals and doctors! MA recognizes that IT cannot mandate everyone be insured AND offer patient choice. All the tools doctors have at their disposal to help them help US are up for the chopping block here.
Hospitals are needed, but heck, lets’ curtail their use as much as possible. Sick patients be damned. We mustn’t trust the masses of people and their doctors to decide what is the best course of action. Nope…
We can’t let them decide if they want tests and procedures that aren’t necessary, but aid doctors in diagnosing diseases and helping them locate exactly where problems are….so, when you have a pain in your back say goodbye to the MRI that might show WHAT causes that pain. Say goodbye to the CAT Scan that might show a tumor developing (even when it’s so small it could not be seen any other way…)The heck with pesky tests that might offer you a chance to live if a disease is found early. Kiss goodbye the frivolous test that discovered clogged arteries going into your heart, that will require an angioplasty procedure that will prevent a heart attack…
Let’s just deny SICK people choices. Let’s screw them over- after all a health care system isn’t MEANT for sick people right?
The hell with the 65 yr old lady who develops Altimeters Disease- which is very expensive to “treat” and is always terminal.
The hell with the 39 yr old man who was driving home from work when his car was hit head on by another car, that resulted in his being brain injured for the remainder of his life- requiring him to be on life support- and other expensive care.
The hell with the 50 yr old man who ate all the right foods, maintained a perfect weight, who ran everyday- yet had a massive heart attack one Monday during his morning jog.
These are just a few examples of how people get “sick”- and who will require many years of “tests” and “care” in order to live (or, to wait to die in some cases). Do we want to place their health care on a budget??? Do we really want to go there?
It cost more money to take care of people who are ill, have diseases, health problems and the like! That’s elementary folks. No amount of healthy living lifestyles will prevent every expensive medical condition. And we cannot force people to stop their unhealthy habits (YET).
But we can offer them an incentive: Make then pay for their own health care.
We the people should be able to decide whether we will purchase health insurance.
We the people should be able to decide what kind of coverages we need and want.
We should be able to comparison shop for the best plans that suit our needs.
Governments should not step in to control the tools and resources medical science has developed. It is these very tools that help our doctors help US.