September 18, 2017

TAX WHAT YOU DON'T WANT:

After single payer failed, Vermont embarks on a big health care experiment (Carolyn Y. Johnson September 17, 2017, wASHINGTON pOST)

The underlying premise is simple: Reward doctors and hospitals financially when patients are healthy, not just when they come in sick.

It's an idea that has been percolating through the health-care system in recent years, supported by the Affordable Care Act and changes to how Medicare pays for certain kinds of care, such as hip and knee replacements.

But Vermont is setting an ambitious goal of taking its alternative payment model statewide and applying it to 70 percent of insured state residents by 2022 which -- if it works -- could eventually lead to fundamental changes in how Americans pay for health care.

"You make your margin off of keeping people healthier, instead of doing more operations. This drastically changes you, from wanting to do more of a certain kind of surgery to wanting to prevent them," said Stephen Leffler, chief population health and quality officer of the University of Vermont Health Network.

Most importantly, it discourages practitioners from encouraging you to consume.

Posted by at September 18, 2017 1:30 PM

  

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