Before the full implementation of the Health Reform Act this past year, most practitioners figured it was the price of “doing business” to receive Medicare reimbursement rates for their older patients. And if you had a good patient mix, this didn’t affect your bottom line too much.
But imagine that for every dollar you submitted to ALL of your patients’ insurance companies, you received only $.14-$.24 in reimbursement. How will you be able to stay in practice if almost ALL of your reimbursement occurs at Medicare reimbursement guidelines? How will you continue to eat?
And then there will be the final assault – healthcare providers will be reimbursed for services based on the health profile of the patients they take care of. Yes, if you’re a doctor who is quick to administer medication for health conditions that are “lifestyle induced” like obesity, Type II Diabetes, etc. and you do not take the time to counsel them on making changes in their diet and maintain a regular exercise program, you will eventually be paid less in reimbursement for services rendered. This is the wave of the future… called Value-Based Care.