Look at what Baucus has done so far. He has invited former Medicare administrators (May), representatives from the private sector (June), and physicians (July) to the committee to offer their ideas on how to resolve the physician payment issue and insure Medicare's future.
The roundtable sessions covered a wide range of topics, including models of care, specialty reimbursements, and quality and efficiency. There was agreement that the SGR doesn't work and needs to be repealed; that whatever new payment plan is developed needs to support patient-centered and coordinated care with an emphasis on quality; and that the wheel doesn't need to be reinvented because there are plenty of examples of providers and payers successfully incorporating new payment structures that could be modeled by Medicare.
It doesn't look like a single solution will percolate to the top, but let's look at the big ideas presented by each group during their roundtable meetings.
Former administrators for the Centers for Medicare & Medicaid Services or its predecessor, the Health Care Financing Administration Gail R. Wilensky,PhD; Bruce C. Vladeck, PhD; Thomas Scully; and Mark McClellan, MD and PhD, provided a letter to the finance committee laying out their recommendations: