There will be many words from many people about much of the President’s State of the Union speech from last night.
I will only focus on one line, which distinctly highlights again just how out to lunch the man is when it comes to real healthcare reforms in this country.
During his speech the President said this:
We’ll bring down costs by changing the way our government pays for Medicare, because our medical bills shouldn’t be based on the number of tests ordered or days spent in the hospital – they should be based on the quality of care that our seniors receive.
In other words, we should stop paying for tests based on the number performed and we should stop paying for hospitals based on the number of days in which a patient stays in the hospital. Instead, we should pay based on the quality of care given, which I guess means if suddenly your stool sample turns to gold, we’ll charge more.
Yes, and under "outcome based billing" hospitals, doctors, etc. are all going to shy away from treating anyone that doesn't have a simple, straightforward injury/condition/disease.