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View Diary: medicare SGR fix deal announced (7 comments)

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  •  Don't know about the base rate, but... (3+ / 0-)
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    Mr Robert, blueoasis, Sylv

    the bonuses are paid out of "loser" physicians.  In other words, they will establish a quality threshold score, with those below taking penalties and those above reaping the gains.  The only problem with that concept is that no matter how much physicians collectively improve care, enough of them will have to lose out to fund those on top.

    I think a better model is to reward for improvement from where you start the first couple of years, and then after that have a rising threshold you have to beat to get the bonuses.  But, if everybody hits the mark, everybody gets the bonus.

    It is ultimately paid for out of the savings from less unnecessary care and less necessary care because people are healthier and using less resources.

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