Mass. Panel Backs Radical Shift in Health Payment

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Published at: www.nytimes.com

Physicians paid on Salary basis provide better quality of Health care services

September 3, 2009

Analysis by: GLG Expert Contributor

When physicians are paid on per patient basis, they want more no of patients for their payment, by which patient history, clinical examination are done more fastly, leading to poor quality of Health service, which can be greatly improved by payment to them on Salary basis.

Will We Never Learn From Past Mistakes?

July 29, 2009

Analysis by: GLG Expert Contributor

The idea of global payments is not a new one. This was attempted in the 1990's as part of insurer/provider risk-sharing arrangements. The dollars that providers will be given will have to be less than the amount the insurer spent on member care or no savings will be achieved. Providers will be required to recreate the administrative infrastructure of an insurance company along with the accompanying expense. Gatekeeper model managed care failed in the 1990s for all of these reasons.

Shifting the burden of risk

July 28, 2009

Analysis by: GLG Expert Contributor

Once again, capitation rears its head. As seen over the past two decades, this is just another attempt to shift the risk of utilization away from the payors (Medicare and insurance carriers) and onto the providers (physicians, hospitals, etc.)

Will the Mass. plan for Global Payments influence the quality of M.D. care?

July 23, 2009

Analysis by: GLG Expert Contributor

Despite the Mass. scheme that all have health insurance, costs have risen at 6-9%/yr. To rein in health care costs, a high level commission suggests moving from Fee for Service to a Global Payment System that would compensate physicians for the care of patients on a periodic basis. Capitation reduces health care utilization but  lack of standard definitions and measurements will impede assessments of any impact on quality.  Less may be more but data are needed to answer this critical question. 

Capitation All Over Again

July 19, 2009

Analysis by: GLG Expert Contributor

Why Massachusetts is moving toward Global Payments Models that make sense

Who is the customer?

July 19, 2009

Analysis by: GLG Expert Contributor

 In any business, it is paramount to keep your customers content.If we change our system, who will the customer be?  

Mass. Proposed Payment System Strikes Fatal Blow Against Private Practice

July 19, 2009

Analysis by: GLG Expert Contributor

The proposed bundling of payments for specific disease entities among all healthcare providers--hospitals, nursing homes, physicians, pharmacies--into one lump sum payment will make it impossible for individual physicians or small physician groups(the vast majority of medical practices) to get their fair share of the pie without joining a much larger comprehensive health system.