Risk under new CMS model isn’t worth the rewards
The article “CMS wants primarycare docs to take on financial risk” (ModernHealthcare.com, Nov. 25) addresses the CMS’ new direct-contracting alternative payment model, noting, “the pilot will allow providers that deliver evaluation and management services to take on financial risk for original, fee-for-service Medicare patients in exchange for less federal oversight and the opportunity to earn financial rewards. Under the new model, a wide range of organizations can volunteer to accept full or partial risk for managing the care of beneficiaries of traditional Medicare.”
Let’s see. Medicine is also an art; patients are physically unique; patients are emotionally unique; biological systems are still poorly understood; illness can be simply bad luck; socio-economic status is variable. Finally, there is no reasonable expectation that patients will follow advice. And it is suggested that physicians assume more risk. No person with even a modicum of common sense would think this logical in the least.
Dr. Allan Dobzyniak
Sneads Ferry, N.C.