Obamacare Protocol Creates Conflict of Interest for Doctors

By AAPS, Special for  USDR

The White House has announced its intention to set an aggressive timeline to move from “volume to value” in Medicare. This means replacing fee for service—payment for work—with an “alternate payment  methodology.”

The government plans to evaluate whether patients are healthier, “among other measures,” according to the Washington Post of Jan 26. By the end of 2018, “HHS hopes to link 50% of payments to these arrangements,” stated HHS Secretary Sylvia Mathews Burwellin a press  conference.

Officials from the American Medical Association the American Hospital Association, several nonprofit healthcare systems, and large insurers such as UnitedHealth Group, Anthem and Aetna were at the press conference announcing the new goals. AMA PresidentRobert Wah, M.D., said: “Today’s announcement by [HHS] aligns with the American Medical Association’s commitment to work toward innovative care delivery  reform.”

“While everybody else gets paid for performing a certain task or working a certain number of hours, doctors are to be paid—or not paid—based on health outcomes or achievement of as-yet-undefined quality metrics,” stated AAPS executive director Jane M. Orient, M.D. “Health outcomes are largely outside the doctor’s control. Complicated patients or those who choose an unhealthy lifestyle will be money losers for  doctors.”

The way to financial survival under “alternative payment” is to treat healthy patients according to protocols rather than what is best for the patient. “Value” means value to the system, not to individual patients, she  noted.

Medicare has a rigid, complex system of price controls. “Doctors are paid by the AMA procedure code,” Orient explained. “This has no relation to value to the patient or cost to the doctor. The right alternative is a free-market price, and a method that allows the patient, not just the system, to benefit from  economizing.”

The Association of American Physicians and Surgeons (AAPS) is a national organization representing physicians in all specialties, founded in 1943 to preserve private medicine and the patient-physician  relationship.

SOURCE Association of American Physicians and Surgeons  (AAPS)

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