A patient’s compliance is not just the patient’s responsibility

b-reddy.org

I’ve detailed my health insurance issues before. With the new laws taking effect soon I was researching things again. I came across this great discussion of Obamacare on Reddit. Really, I was just looking for an easy to understand summation, and the thread provides that.

A doctor then weighed in on what was about to happen. Here is their comment (edited for brevity):

The basic idea is that there will be an established list of “ideal care” criteria that must be met, and reimbursement will be adjusted accordingly.

[…]

Already, mandatory reporting regarding provider outcomes is beginning. For example, Dr. Johnson, who is a Surgeon, will have to report his average operative time for a cholecystectomy and his post-operative wound infection rate. If he falls below a certain percentile nationally, his reimbursement will be negatively affected. If he is in say, the top 10% nationally, he will receive a…

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