Pay for Quality, Not Quantity
About the Problem
Medicare providers charge by quantity of treatments, not quality of treatment. This system does not always supply the highest-quality care or most cost-effective treatments.
About the Policy
There are various existing pilot programs for establishing Accountable Care Organization and bundled payments for Medicare and Medicaid in which providers are paid for the quality instead of the quantity of care. Preliminary research from HHS indicates these programs generated approximately $300 per participating beneficiary per year while still maintaining quality care. Another Medicare pilot program — called Independence at Home — offered incentives for providers to visit elderly patients at home and saved more than $3,000 per beneficiary. Although these programs are in their initial stages, they can serve as models for widespread expansion in the years ahead.
Polling data derived from three national surveys conducted by Cohen Research Group in February and March 2016. Each survey had a sample size of at least 1,000 registered voters with a margin of error of +/- 3.1%
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