Tornado Alley (PROG)

[n4807g]

There's a lot more information on the issue. For instance http://qualityfirst.acc.org/advocacy/Pages/Proposed2010FeeSchedule.aspx

I think the bottom line is....It's difficult to see how any transition from the current system to any other system will be smooth. The overall goal of lower or stable cost structure is essential if the spiraling cost of medical care in the USA is to be brought under control. Much of the "noise" about health care in the USA is how much it costs, and how many are uninsured. It's hard to imagine a scenario where medicare and medicaid are unilaterally reducing reimbursement while the private sector insured are left to negotiate fee schedules. Remember, fee schedules are "set" by Medicare and Medicaid, not really negotiated. How does a private entity negotiate stable or lower rates while the public system essentially sets or if you will, imposes a rate?

I question whether the end result of health care reform will be more or less functional then it is today? If the private sector plans bear the brunt of increasing fees they will quickly fail.

google medicare cuts 2010 there is a lot of info.