What I don't understand is why the arbitrator can't compromise and/or find a reasonable price between these two extremes. Isn't it their job to uncover the true cost and value of the procedure and arrange payment accordingly?
Todd - 4 months ago
The NYT article dated 4/22 exposes the underbelly of this aspect of the law, with providers chasing massive revenue enhancements for the seemingly shady Breast Reduction surgeries (arbitration requests of 1,000 procedures quarterly??? 15 procedures per day that meet the test for arbitration?). I hope states attorney's general are paying attention and Congress / CMS tighten up this process. You left off A, B and C as a choice...what a mess...
jbossy - 4 months ago
What is the specific context for this poll? Very vague, hard to answer.
Joan - 4 months ago
The system is flawed and unjust. It invites exploration by all actors.
What I don't understand is why the arbitrator can't compromise and/or find a reasonable price between these two extremes. Isn't it their job to uncover the true cost and value of the procedure and arrange payment accordingly?
The NYT article dated 4/22 exposes the underbelly of this aspect of the law, with providers chasing massive revenue enhancements for the seemingly shady Breast Reduction surgeries (arbitration requests of 1,000 procedures quarterly??? 15 procedures per day that meet the test for arbitration?). I hope states attorney's general are paying attention and Congress / CMS tighten up this process. You left off A, B and C as a choice...what a mess...
What is the specific context for this poll? Very vague, hard to answer.
The system is flawed and unjust. It invites exploration by all actors.
It really could have been any one of them…
the wheel of healthcare calculus