Word: reformations
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...only our financial regulations were dumber! It's not a cry you hear often. But phrased a little differently, it may be the most cogent criticism of the convoluted regulatory approach of recent decades--and one that applies to most of the Obama Administration's financial-reform proposals...
...debate over health care gathers momentum, attention is focusing on proposals for a new, government-administered health-insurance program to help lower costs. President Obama said on June 23 that the so-called public plan "makes sense" as part of an overall health-reform package; on Capitol Hill, lawmakers are sparring over its pros and cons. Democrats--who favor a public option--can't agree on a plan among themselves, while across the aisle, Republicans are warning of creeping socialism and health-care "rationing." Hold on tight: this battle is just beginning...
...condition or fails to counsel the patient fully about proper diet and exercise, that patient could have a heart attack - requiring more treatments - and the doctor would take a financial hit. "The more defects you prevent, the more money you make," says Francois de Brantes, the health-payment-reform guru who coordinates Prometheus. "The fact that anybody has a leg amputated for diabetes" - something that's preventable with proper treatment - "is revolting, so you make that a financial blemish...
...Prometheus project is named after the Greek god of forethought, but it's also a lengthy acronym for "Provider payment reform for outcomes, margins, evidence transparency, hassle reduction, excellence, understandability and sustainability...
Indeed, doctors have so far managed to avoid such reform in their own practices, and lawmakers may be running full speed into a minefield with any efforts to change their behavior. Physicians will accuse politicians of getting in the way of the doctor-patient relationship; devicemakers will say a "bundled" fee structure will force providers to use cheap, outdated equipment; and hospitals, already strapped for cash, will resist any reform that decreases their reimbursements...