Friday, January 16, 2015

Too Much Paperwork?

Patients vs. Paperwork: Are the Many New Regulations Being Put on Doctors Detrimental to Medicine?

For starters, Medicaid compensation will be rolled back to 2012 levels, a cut of around 40%. For doctors who see lots of Medicaid patients, this may be a significant decline in their income. The other whammy that physicians face is payment reductions due to quality control measures and Medicare cost-cutting that are kicking in this year- measures that could cut Medicare compensation by 13%. These three measures are Meaningful Use regulations, the Value-Based Modifier Program, and the Physician Quality Reporting System.
The Centers for Medicare & Medicaid Services (CMS) announced recently that 257,000 healthcare providers (about 50%) had been discovered to be in breach of the "meaningful use" requirement and would have their reimbursement cut by 1%. Physician resistance to participating in CMS's quality control programs might be more about anxiety about change- and also about fear of not being able to satisfy the quality standards- than about an excessive amount of paperwork.
The American Medical Association (AMA) complains that this heavy burden of regulations is stifling investment in health IT and infrastructure, and is also changing patient care. The AMA says that health care providers are excessively busy attempting to figure out what the regulations mean and how exactly to meet them to focus on their real job, that of taking good care of patients.

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