The AOA and AMA constantly call for replacement of the SGR, which would be helpful. But, the AOA and AMA never says what they’d like it replaced with. It has been my impression that they would except ANY hair-brained far-fetched government scheme for payment.
Instead the AOA and AMA must lobby and push for removal of prohibition of balance billing. This woul allow physicians to bill patients for cost overruns. Medicine is the only profession or industry that is not permitted by contract or law to bill freely. Further, they should suggest that Medicare pay a percentage of what the physician billed, so that DOs and MDs can compete against each other on price. It is only in that way that a fair competitive efficient market value will be determined, not SGR, not reasonable and customary, and not pay for performance nonsense.
There has not been a true freemarket in medicine since prior to the establishment of Medicare in 1960. It’s about time that all “stakeholders,” or as I call them, “strangleholders,” (government, hospitals, ACOs, healthinsurance companies, big pharma, etc.) were forced out of the drivers seat to allow patients to drive in the healthcare healthfreedom freemarket. After all, healthcare is entirely about the patient.
Best wishes for good health,
Craig M. Wax, DO
Family physician, Editorial Board of Medical Economics
Host of Your Health Matters
Rowan Radio 89.7 WGLS FM
Independent Physicians For Patient independence @IP4PI