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Subject:  Re: Raising Medicare Age Saves $5.7B Date:  12/4/2012  5:19 PM
Author:  lindytoes Number:  46569 of 117560

Medicare is shifting towards outcome based payments instead of procedure based.

I assume that is not exactly the same thing as number of patients instead of number of procedures but along the same lines. I think that is what I have been hearing lately as a cost control. I'm having some problem understanding all the terminology as it seems to overlap and/or use different terms for basically the same thing.

I thought it was Ezra Klein who was talking about number of patients so I went to his WonkBlog. I didn't find anything with number of patients in the title and gave up. I found this article that might be of interest. I can't remember if it was posted on the boards or not.
Study: Paying doctors differently saves lives
The researchers aren’t quite sure what mechanism is driving the changes. “We think that it is very unlikely that improved performance on the process measures alone could explain the reduced mortality that we observed,” they wrote in last week’s New England Journal of Medicine.
We might learn more about the mechanisms at play soon, as the United States introduces a similar program for its hospitals. Under the health care law, hospitals become eligible for bonuses if they hit certain quality metrics — they also get dinged if they lag behind on these measures. There’s still an open debate about how that will change hospitals’ behavior and whether it will save money. But the British study offers the hopeful possibility that it could end up saving more of their patients’ lives.

Here's the WonkBlog: Health Care section
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