If this is so, why can’t our gov let Medicare provide us with certain copays for doctor visits and the same extras we get from our Advantage plans. If they “are” paying the plans to provide their benefits, why can’t they up the rates they pay our doctors so that they will accept Medicare patients? We purchased our Advantage plans because our doctors would not accept Medicare. The problems are not with the Advantage plans, they are with Medicare, in my opinion.

The expected Benefits of this ‘innovative idea’ are as follows ;

1. Meet the objective of revenue-neutral.
Supporters of the agreement say it could save the Medicare System more than $100 billion a year and ‘improve’
care, that means more than $1trillian over next decade, and virtually needs no other resources including tax on the
wealthiest. Supposedly even the ‘conservative’ number of such savings might be able to meet the objective of
revenue-neutral.

2. Quality and affordability.
If you are a physician, and your pay is dependant upon your patient’s outcome, you will most likely strive to
prescribe the best medicine earlier in the process, let alone skipping the wasteful, unnecessary treatments.

3. No intervention in decision-making.
The innovative idea of ‘a pay for outcome’ will more likely prompt team approach and decision, as at Myo clinic.
Under the ‘pay for outcome’ pack, for good reason, best practices as ‘recommendations’ would simply help them
make a better decision, and the government won’t still have to meddle in the final, actual decision-making
process as a non-expert.

4. Speed up the introduction of IT SYSTEM.
The pay for ‘Outcome’ pack is most likely to expedite the introduction of Health Care IT SYSTEM.
The synergy effect of the combined Health Care IT & a pay for ‘outcome’ system may allow the clinicians to
‘correctly’ diagnose and effectively treat a patient earlier in the process so that it can measurably scale back the
crushing lawsuits and deter the excuse for unnecessary cares to make fortunes.

5. Accelerate the progress in medical science, in return, it saves more cash.

6. Settle the regional disparity.

7. Reduce the emergency room visits & save immense costs.
Public health insurance plans such as Medicare and Medicaid paid for more than 40 percent of U.S. emergency
room visits in 2006, according to government figures released recently. Many experts say reducing these hospital
visits would be an important way to lower the enormous, and growing, expense of U.S. health care.

I share the opinion that unlike the insurer-friendly senate plan by ’some’ members, only a strong public option will be capable of getting the premium inflation under control and saving the U.S in turbulence.
To my knowledge, a dual system tends to deliver better results than a pure single payer system. Supposedly, to be or not to be might be up to the innovations like a pay for value program, otherwise, the forthcoming start-ups may fill the void with competitive deals. The competition based on ‘fair’ market value would be a beauty of true capitalism, not monopoly, an objective for anti-trust.

Thank You !

Studies have documented that nearly one half of physician care in the United States is not based on best practices and that at least 98,000 Americans die of a ‘medical error’ each year.

Under the ‘pay for outcome’ pack, supposedly best practices as ‘recommendations’ would simply help them make a better decision, and the government won’t still have to meddle in the final, actual decision-making process as a non-expert.

Thank You !