Will the "Fixes" Fall Flat? Prospects for Quality Measures and Payment Incentives to Control Healthcare Spending.

Abstract:

:Payment systems in the US healthcare system have rewarded physicians for services and attempted to control healthcare spending, with rewards and penalties based upon projected goals for future spending. The incorporation of quality goals and alternatives to fee-for-service was introduced to replace the previous system of rewards and penalties. We describe the history of the US healthcare payment system, focusing on Medicare and the efforts to control spending through the Sustainable Growth Rate. We describe the latest evolution of the payment system, which emphasizes quality measurement and alternative payment models. We conclude with suggestions for how to influence physician behavior through education and payment reform so that their behavior aligns with alternative care models to control spending in the future.

journal_name

South Med J

journal_title

Southern medical journal

authors

Hauswald E,Sklar D

doi

10.14423/SMJ.0000000000000626

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

249-254

issue

4

eissn

0038-4348

issn

1541-8243

pii

SMJ50355

journal_volume

110

pub_type

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