Message Font: Serif | Sans-Serif
No. of Recommendations: 1
Here's an article discussing the implementation of two new Obamacare-associated policies.

As expected, these two "reforms" are more central planning. They penalize hospitals for readmissions within one month and reward hospitals for meeting certain quality metrics.

From my point of view as an experienced emergency physician, this is just more "red tape" which will complicate care and drive up costs. The penalties for readmissions will be difficult to enforce appropriately and will provide perverse incentives for the way care is delivered. The incentives to promote "quality of care," will focus on metrics rather than the overall care of the patient. Certain metrics will improve but most likely to the detriment of overall patient care. Focusing on certain metrics fails to account for how other variables are affected. It assumes that there is some fantasy world where health care providers have unlimited time and resources. It fails to acknowledge that time spent trying to meet certain metrics and documenting these efforts is time that could be spent on other more important tasks.

Predictably, these reforms will fail, as all other similar efforts have failed, due to one basic flaw. They are centered around pleasing a third party (government) rather than the most interested party - the customer/patient.

When will they learn? Probably never. In the meantime, my job gets harder and more costly - and patients suffer.

Print the post  


When Life Gives You Lemons
We all have had hardships and made poor decisions. The important thing is how we respond and grow. Read the story of a Fool who started from nothing, and looks to gain everything.
Contact Us
Contact Customer Service and other Fool departments here.
Work for Fools?
Winner of the Washingtonian great places to work, and Glassdoor #1 Company to Work For 2015! Have access to all of TMF's online and email products for FREE, and be paid for your contributions to TMF! Click the link and start your Fool career.