Everybody Gets a Medal: Performance “Incentives” in Medicare Reform

In April 2015, huge bipartisan majorities passed a milestone Medicare reform bill called MACRA (Medicare Access and CHIP Reauthorization Act), which imported all the worst elements of Obamacare into Medicare. At the time, I wrote a series of posts (culminating in this one), which anticipated that physicians would refuse to swallow the medicine MACRA prescribed.
Currently, most Medicare payments to physicians are based on activities doctors perform. For example, if a doctor checks your Body Mass Index and records it in your file, he can submit a claim for that. However, these activities alone do not necessarily make patients healthy. MACRA

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