It's never improve, it's about just getting back to what you should have recieved all along. So reporting less than perfect and in the different ways each program and carrier wants is just any easy new way to allow them to take away your money.
My Goodness, doesn't anybody see this for what it really is??? Sorry for all the flames but all this P4P, let's just get in line for our own screwing is driving me crazy and making my head explode! "Hey buddy to you know where the line to the slaughter house is? I want to get in line... " Do you really think these carriers really have patient outcomes and higher payments to folks like you as their real end goal??? Please you folks should be more analytical thinkers than all this. This is just bull, smoke and mirrors, and a great cover story. I mean how can you say no to performance??? Are you hiding something? Are you just rushing, lazy? It's nothing more than Orwellian new speak for making you jump thru more hoops so anytime your paperwork is less than perfect, BANG, there goes 20% of all your fees for every payment for those products or carrier. You will all be sheep led to slaughter... Please get off the line, please protect yourselves and fight back with all your might and intellectual skills.
It's all bull. They have already done tons of studies and math that make sure they are going to pay a whole lot less with these systems in place. And that is above and beyond the added expense of running these new programs. So just imagine how much they are already damn sure they are going to never have to pay you from now on under their new programs.
And just like their formulars, the bundling, their its a covered service under the plan to the members but some how they don't pay you for the service (only in the game of insurance, Simply Amazing) they will continue to move the goalposts, change the spot of the ball and keep you lossing yardage and payments, once in place they will make it worse and worse as time goes by. And do you have any control over these terms?
When was the last time you got them to give you a signifcant give back and increase? Actually sit down and have a fair and level across the table negotiation over terms, conditions or fees???? What make any of you really think that this CCHIT is going to be any different. It is just their next creative game to screw you all real good... Mark my words. Anybody care to make a friendly wager on the this as to whether most docs thrive or starve under these new games??? I'll gladly take that sucker bet...
And if everyone just gets in line and cooperates with it then a majority of you are going to loose. This is the Healthcare version of a big Casino. First off, it is illegal for us to use general skills and math and count the cards (have access to all the data they do for setting and control fees and prices so we can have half a chance to have data to fight back with) and the house always wins. I repeat, the house always wins.
Instead of wasting time and energy worrying about it and then waste too much money thru your vendors and staff setting it all up and doing it all; instead do something useful and in your own self interest, and stand up to these SOB's and start telling them that you already know the truth and that you refuse to be a party to your own next HMO scam type screwing.
"THE HOUSE ALWAYS WINS!!!" You can take your P4P and shove it..... You know where! I know the truth and your lies are showing...
Good Night and Good Luck,
Paul
