Medical providers are increasingly nervous about proposals that Democrats and Republicans are pushing as a source of savings for health care reform. President Obama, for example, has proposed to save about $26 billion over 10 years through new incentives to reduce hospital readmissions for Medicare patients by bundling payments for episodes of care. He has other proposals that would pay doctors and hospitals more for higher-quality care, and encourage the use of medical homes to better coordinate patient care.
Would these proposals be an unfair hardship on doctors and hospitals, as some claim? Would the result be rationed care? Would doctors be forced to abandon their small practices and become hospital employees? If payments are to be combined, then who should control the rates?
-- Marilyn Werber Serafini, NationalJournal.com