Most of the changes we are concemed about are happening without any legislation. One of the biggest issues around the health care reform debate has to do with new reimbursement mechanisms. Since it is generally accepted that incentives drive the system, these changes will have a significant effect on how health care is delivered in the future. It is important, therefore, to try to understand these incentives and their effect on health care delivery. With this method, the physician's best day is one in which his office is full of sick patients.
Patients access to care is desirable to the physician.
There is a focus on patient satisfaction. Productivity is necessary. Competition is fostered. It makes the patient a revenue source to be sought after. There is no accountability for cost or quality.