AMA Cries for More Cash to Ensure Quality Care

The American Medical Association wants the Centers for Medicare & Medicaid Services to start paying doctors extra for care coordination. The fact that many physicians don't currently coordinate care is just one indication of why our national healthcare bill is frighteningly large and rapidly growing larger. This isn't leadership, folks.

5 comments on "AMA Cries for More Cash to Ensure Quality Care"
American Medical Association (10/17/2011 at 3:14 PM)

The recommendation to CMS on reimbursing for coordinated care services was made by a committee of physicians and others (not directly by the AMA). They are seeking to have these critical services, which physicians often already perform, encouraged, recognized and reimbursed by Medicare. We agree with the author that the Medicare payment system is broken and fragmented. The AMA does support stabilizing the Medicare system, where low reimbursement rates and the ongoing threat of severe cuts from the broken Medicare physician payment formula are already forcing 1 in 5 physicians to limit the number of Medicare patients in their practices. Even by the government's own conservative estimate, Medicare payments for physicians are low, with physicians now operating at a 20 percent gap between Medicare's payment updates and the increasing cost of caring for seniors. The AMA is working to make sure Congress enacts permanent repeal of the broken formula and protects access to care for patients. We support enacting a five-year period of stable Medicare physician payments during which time new models of care delivery, which have the potential to coordinate care and reduce costs, can be tested. These new models should form the basis for an improved system as we move Medicare forward.
ps (10/17/2011 at 10:00 AM)

First airlines, then hotels, and now AMA is taking out a chapter from airlines' book of de-bundling services that were supposed to be the part of their contract to provide healthcare. If this is approved, then ALL healthcare providers will follow. There goes our idea for an affordable and accesible healthcare for all Americans down the drain!
mc (10/14/2011 at 8:21 PM)

Thanks so much for Mr. Betbeze's article in HealthLeaders Media entitled, "AMA Cries for more Cash to Ensure Quality Care". His description was insightfully accurate. The more reimbursement-driven our healthcare is becoming, the less patient-centered it is. The situation, especially in our hospitals, is frightening. That we have come to a point where, in order for a healthcare institution or physician to care, we have to first provide a reimbursable situation, clearly outlines the fractured state of healthcare today. Healthcare is becoming less and less individualized, despite all the esoteric reimbursement strategies that are in place in order to show it isn't. Excellent article.
16788087 (10/14/2011 at 1:35 PM)

As a physician who has advocated for change within our healthcare system for a long time I couldn't agree with your analysis more. the AMA is basically promulgating further 'debundling' of obviously needed coordination of care. One could certainly make the argument that much required infrastructure is lacking that is needed to make this a reality (lack of EMRs, different EMR systems not 'speaking' to each, misalignment of incentives between various specialists, fps, etc), but these issues need to be addressed and dealt with. The 'answer' isn't to ask for more reimbursement to do 'other', better stuff (coordinate care). This reminds me of an oft sited point by Clay Christianson in his book 'The Innovators Prescription' ; that disruptive innovation is doomed to failure if it's shoved into a current, prevailing business model-which is exactly what the AMA, and many physicians unfortunately, are trying to do-fit a disruptive practice/healthcare delivery model into our current fee for service business model. Bad idea! Les Garson M.D.
Joseph Zurfluh (10/14/2011 at 1:10 PM)

Philip- Whether we like it, or not, we have the system we have. Physicians should be paid, not only for the work that they provide, but the risk that they assume. Tongue in cheek longing for capitation is also not leadership. Health care financing and health care delivery are not the same thing. Blaming physicians for the faults inherent in our current financing model is misguided.


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