Knowledge Center

This has always been a poorly implemented distortion within the existing FFS structure. It helped inflate practice values for acquiring hospitals, confused countless patients in terms of co pays … and sown overall disruption on fairness and continuity. Now it appears to be on the cusp of being rolled back for Medicare FFS.

What will be the implications for payers and employers? I suspect it depends on local market conditions … but hospitals will first try and rebalance overall revenue by asking for more …

So I would suggest that commercial payers need to take the initiative and try and buffer themselves from this reflexive reaction.