Reversing A. C. A. Outcome Incentive programs in favor of fee for service approach.

In the fee for service  ( FFS ) approach to medical billing, your physician, hereafter known as HE,  dings you everytime he turns his wrist or nods his head.    And he nods his head and or prescribes treatments just to build out the bill.

He gets paid whether you live or die or whether you improve in health or not. He takes no responsibility for the outcome. 

Isn't that just like a man.  Women never do things like that.

O'Bama Kare sought to encourage physicians to invest themselves in the outcome  of their treatments.  It also sought to steer physicians away from the practice of prescribing just to fluff up the bill.  

In the past few days, the trumpets in the IHS have set about to shut down the O'Bama trial and return to FFS.  I mean, after al, how is one to pay off the load on the jag.   Isn't that the real part that the sick person has to play in all of this?

I heard all of this in passing on NPR.   That report did not include the number of physicians who work under clinic contracts and hence reeive a salary instead of deriving thier income by way of a billing process. 

I work with a clinic type group.  Emory Hospital Systems may run a clinic system here in Atlanta. .  So, how many physicians  remain who run their own practice?