Leadership
e-Newsletter
Intelligence Unit Special Reports Special Events Subscribe Sponsored Departments Follow Us

Twitter Facebook LinkedIn RSS

AMA Cries for More Cash to Ensure Quality Care

Philip Betbeze, for HealthLeaders Media, October 14, 2011

I don't fault the AMA for trying, but the effort represents clinging to a model of reimbursement that is antiquated, wasteful, and provides strange incentives that seem to absolve doctors of the responsibility for taking care of anything regarding these patients other than what will be reimbursed.

The system is broken. But more fragmentation of the care process will only make it worse. And this isn't leadership.

See Also:
$500M in Readmission Prevention Funds to Bypass Hospitals

Healthcare leaders, please take our 2012 Industry Survey. Contribute to the top source of healthcare industry insight, see the results from your peers (published online in February), and be entered into a drawing for an iPad.


Philip Betbeze is senior leadership editor with HealthLeaders Media.
Twitter
1 | 2 | 3

Comments are moderated. Please be patient.

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.