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Physician Payment Reform Gets Serious

Joe Cantlupe, for HealthLeaders Media, March 8, 2012

Schroeder immediately raised some questions about the framework of ACOs in the interview with HealthLeaders Media. "I think there's a gap between the rhetoric and the hope for ACOs, and the potential number of people who will be covered by them in the short run," he says. "I think it's going to be difficult to create from whole cloth."

Although Schroeder didn't exactly tip his hand about where the commission may be headed on ACOs, the fact that he raised even the slightest question is good news that there will be some debate about ACOs.

Other parts of the commission's agenda on potential physician payment plans includes an in-depth look at patient-centered medical homes and value-based purchasing. "Those organizations will be considered to the extent that payment reform is featured," Schroeder says.

Besides exploring how physicians are paid, and indeed, how much, the commission will examine questions about patient treatments and various aspects of services and technology as well as the evolving healthcare funding from fee-for-service to quality, Schroeder says.

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