The white house has released details of the program CMS Primary Cares Initiative, which will come into effect from January 2020 and aims to radically change the rules for the provision of primary health care and reduce its costs by changing the rules of payment of physicians.
The latter will receive payment depending on whether it is possible to improve the health of their patients, and thus the government plans to improve the quality of services without introducing the notorious “Medicare for all”.
Participation in the program is voluntary, but in the presidential administration hopes that it will go to 25% of physicians providing primary care, and the same proportion of the 44 million Americans who are Medicare.
Such changes the Minister of health Alex Azar called a historic turning point for American medicine, stressing that the priority will be given to quality of service, not the number of prescribed tests and procedures. In other words, the payment will be made only for specific results.
As noted by Adam Buhler, Director Medicare”s Innovation Institute, the transition to the new standards may lead to a decrease in income of physicians by 10%, but, on the other hand, they can earn 50% more if their patients remain healthy and not in need of hospitalization.
These innovations are the more justified in that, according to the Centers for Medicare and Medicaid Services, for 8 years the costs of medical services will increase by 5.5% per year to 2027 reach $ 6 trillion, roughly equal to 20% of the gross domestic product.
The cost of primary care is only about 3% of this amount, but the real costs, taking into account readmissions, much higher. So, it is clear the government’s desire to save money and at the same time to improve the quality of service.