That’s really great!

you may be ready for Washington, but is Washington ready for YOU?

go get ‘em indeed!!!

Here are some more ideas:

1) Physician reimbursement rated depend on patient feedback and turnover rates. Highly rated doctors and those with low average turnover get a 10% higher reimbursement rate. Those with high turnover and bad feedback, get docked 10%. Rewarding and penalizing on those two metrics together should overall reduce costs and improve quality.
2) For tests that have been ordered recently from multiple sources — if the first to order does not share– 10% cut on reimbursement. Second to order — did not check — 10% reimbursement cut. Second institution does not order but uses recent tests — 10% bonus to both sides of the transaction. Exception for highly critical situations or where previous test results would not have been useful.
3) Require price transparency for medications, tests and procedures so that consumers can shop — and give some sort of rebate for choosing lower cost alternatives.It is crazy that for expenditures the size of medical bills, people cannot comparison shop. For example, the local MRI is an old 1.5T and wants $5000 for test a. MRI across the country has much better resolution (3T) and because it is cash only, charges $450. I could fly cross country, stay at the nicest hotel, eat at the nicest restaraunt and still pay for some darn good shopping for the price difference. Frankly, I would happy just that my insurance would reimburse me for the whole $450. But they won’t so my next MRI will be on the dinosaur and they will pay through the nose. I have seen $300 a month differences in the cost of a prescription depending on where I get it filled — advertised — not. And if my only part of the deal is to pay gas money and wait in line, guess what, I’ll go to the nearby place with no line, even if it costs the insurance company more. This could be addressed pretty easily.