The Los Angeles Times reports on the payment reform proposal released by Senators Baucus and Grassley of the Senate Finance Committee:
Pushing to change how medicine is paid for as part of a sweeping overhaul of the nation's healthcare system, two leading senators offered a plan Tuesday to pay more to hospitals and doctors who meet federal quality standards and penalize those who do not. . . .
In addition to promoting quality standards, Baucus and Grassley have proposed pay incentives to encourage primary-care physicians to manage a Medicare patient's dealings with multiple providers.And their memo suggests that the amount private insurers receive from the federal government for offering Medicare coverage to seniors could be linked to some quality measure.
How should payment be linked to quality of care? How can we shift from a volume-based payment system to an outcomes-based system? Is that the best way to incentivize high-quality care?