FFS Structure in the Future
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.
William P. Kelly is our Chief Executive Officer. He has extensive executive level experience in healthcare leadership, policy, and strategy and previously founded and served as President and Principal of Treo Solutions, LLC. As a widely recognized leader in payment policy and an expert in healthcare analytics, services, and M&A, William has published articles, edited books, and spoken nationally about the business of healthcare.