Does it make sense to pay the doctor more if the results are better? Common sense would suggest so, but experience does not bear that out. Aaron Carroll has an excellent review of the literaturehardly any of it positiveat The Upshot (NYT blog). He even goes so far as to say:
It would be a tragedy if pay for performance wound up doing more harm than good.
|John C. Goodman is a Senior Fellow at the Independent Institute, President of the Goodman Institute for Public Policy Research, and author of the widely acclaimed Independent books, A Better Choice: Healthcare Solutions for America, and the award-winning, Priceless: Curing the Healthcare Crisis. The Wall Street Journal and the National Journal, among other media, have called him the Father of Health Savings Accounts.|
Obamacare remains highly controversial and faces ongoing legal and political challenges. Polls show that by a large margin Americans remain opposed to the healthcare law and seek to repeal and replace it. However, the question is: Replace it with what?