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Physicians Push for Say in Value-Based Payments Structure

Christopher Cheney, for HealthLeaders Media, February 12, 2014

In orthopedics there is a wide cost gap between doctors who prescribe professional rehab for their patients and doctors who send their patients home with rehab instructions. Hip replacement with rehab can cost twice as much as sending a patient home, Roman says.

With more and more patients facing high deductibles and other out-of-pocket expenses, making cost figures public would help patients find their most affordable treatment options, the orthopedic surgeon said. "If you have a high deductible, you're going to shop around," he said.

The ACO Model
Earl Ferguson, MD, a California cardiologist and author of the recently released book "American Healthcare Reform," said physician reimbursement reform is needed, but any new rules should avoid imposing more administrative demands on physicians. "We need to incentivize efficiency, productivity and quality, and decrease costs," he said. "But it's getting so complex, it's taking physicians away from actual medicine."

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