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I agree with the points made by Ms. Brady and Dr. Goldberg, but I would like to emphasize that society will be successful in meeting the future health of our country when we provide quality care and control costs at the same time. For the latter, we will look back in 20-years, when we have achieved success, and realize that two factors were responsibile. First, there will be more health care providers who are salary based rather than fee-for-service based. Second, providers and institutions will be rewarded/compensated for outcomes rather than tests. If practice A has a lower rate of colon cancer and lower rate of amputatiions in their diabetic population than practice B, then, practice A will receive a higher level of compensation. No longer will colonoscopies (procedures) and tests (Hemoglobin A1c) be compensated as stand alones.

David A. Nardone, MD

Hillsboro, OR

posted 2 years, 1 month ago
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