Managed Care Contract Negotiations
Oct 30

Ethical and economic failures of fee for service

I think most of us realize there is change afoot. While I think traditional fee-for-service billing will remain with us in to the future, there will be new reimbursement models. Is capitation goint to rear its ugly head again? Who knows. What we do know is that there are problems with the fee-for-service model that need to be fixed. Here are a few of the problems with it:

– Rewards overutilization
– Undervalues quality
– Ignores care coordination
– Creates an unsustainable trend

As I see it, instead of payers forcing new reimbursement models down the collective throats of physicians, there must be collaboration between payers and providers. We must make the future of healthcare reimbursement a win-win for all parties concerned, ultimately with outcomes that manages future healthcare costs and produces quality care.

What are your thoughts?

About Reed Tinsley, CPA

As a top advisor to physicians, I help increase practice profits by delivering hands-on, expert medical accounting/tax support, practice counsel, and revenue-building strategies. Read more →