Medicare reforms not enough?
Researchers, writing in the September issue of the journal Health Affairs, said that demonstration projects featuring accountable care organizations, bundled payments and other strategies might not be enough.
“Experience amply demonstrates that persistent cost containment is not a given,” they wrote.
Post-acute prospective payment system reforms 10 years ago led to less treatment of less profitable patients, poorer outcomes and only a temporary slowdown in overall payouts, study authors observed.
By law, the ACA mandates reductions in pay hikes for providers through fiscal 2019.