Ideally, the Board will suggest reduction in payments on care that is not necessary, which is a significant amount of health care that is provided these days under our fee for servicemodel.
While they are a step toward a pay-for-performance system, they have not entirely shed the yoke of the fee-for-service model that is currently employed by government-funded health programs.
To bolster his contrarian argument, he points out that an officially appointed committee of experts has just recommended that his state scrap the fee-for-service model of reimbursement, which many economists believe is at the heart of America's health-inflation problem.
Medicare has many other flaws such as its encouragement of open-ended, fee-for-service benefits a model that nearly all employer health plans abandoned more than a decade ago.