Alternative Payment Models (APMs), under the 2010 Obamacare law and the 2015 GOP “Doc Fix” bill (MACRA), are altering physician practice. The goal of government officials and health plan executives is to pay doctors for “value,” not their time or their services. The CMS Innovation Center has initiated most of the APMs listed in the diagram below, including ACOs and bundled payments. Who Defines “Value” of Care?
ST. PAUL, Minn.—Democratic presidential hopefuls Bernie Sanders and Hillary Clinton sparred last night at the debate at the University of Wisconsin over Sanders’ proposed “Medicare-for-all, single-payer proposal” that would supposedly “save the average middle-class family $5,000 a year.”
Bernie Sanders proposes Medicare-For-All. His health care proposal includes six new taxing streams, the end of private insurance and employer-sponsored coverage, and $28 trillion in new federal spending.
Americans need to see “population health” for what it really is. Last week, a POLITICO panel discussed the term “population health,” which is key to Obamacare’s transformation away from the private practice of medicine -- and into the everyday lives of Americans – starting with Medicare.
ST. PAUL, Minn.—A new rule in the Affordable Care Act will allow Medicare to “experiment” on the nation’s senior citizens by forcing bundled care payments for some hospitals and doctors. The rule will “test whether bundled payments to acute care hospitals for episodes of care will reduce Medicare expenditures while preserving or enhancing the quality of care for Medicare beneficiaries.”
On Friday, the Obama administration published a final rule on physician payment for 2016. The 1,358-page Medicare rule, with the names of 28 bureaucrats you can contact with questions, makes changes to physician payment and Medicare Part B. A similar rule will be issued next year for 2017 and likely every year after. Who has time to read these??
ST. PAUL, Minn.—This Thursday, Medicare will mark a milestone—50 years since it was signed into law by President Lyndon B. Johnson on July 30, 1965.
Virginia “Ginni” Thomas, founder of Liberty Consulting and wife of Supreme Court Justice Clarence Thomas, interviews Twila Brase in the old style (longer answers) on (longer answers) on Daily Caller about Obamacare, Medicare, building a “Wedge of Freedom,” Baby DNA warehousing and the power of privacy to protect health freedom.
The Centers for Medicare and Medicaid Services (CMS) has announced that HHS is “working in concert with our partners in the private, public, and non-profit sectors to transform the nation’s health system to emphasize value over volume.” But three dangerous CMS initiatives in this effort will take patient care and medical decisions out of doctors’ hands and allow Big Business, Big Health and Big Government make the calls.