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But as people prolong their opioid or nicotine use, dependence grows. And so it has been with healthcare’s fee-for-service addiction.
Why Breaking The Habit Won’t Be Easy Addiction specialists note that many habits begin relatively harmlessly.
Cigarettes circulate among teenagers at social gatherings and opioid medications help relieve pain following injury or surgery.
I don’t use this metaphor lightly, nor wish to trivialize our nation’s growing problem with addiction.
Rather, as a physician and former healthcare CEO, I am increasingly concerned with the impact this payment structure is having on American health.
Over the past 30 years, however, the complexity of patient conditions and treatments has changed dramatically whereas the reimbursement system has not.
Fee For Service Research Paper
As more people began to experience chronic diseases, and as the available treatments grew in number and expense, problems from excess utilization began to outweigh the benefits.
That’s why only 7% of practicing physicians express enthusiasm for “eliminating fee-for-service payment models.” In response, Dr.
Ezekiel (Zeke) Emanuel of the University of Pennsylvania wrote in a editorial, “Physicians are hesitant, if not unequivocally opposed, to taking bold steps to re-engineer incentives in the system.” Although Zeke and I agree that doctors and hospitals ought to own and address these problems, we have different views on how drastic the solutions need to be.
Feinberg, will argue that existing regulations and the incremental policy changes already underway are sufficient to solve healthcare’s toughest challenge.
Shannon Brownlee, SVP of the Lown Institute, and I will make the case that without major transformation, Americans will continue paying more and receiving less from their healthcare.