Physicians often face a heartbreaking reality: caring for patients under a system that rewards procedures over prevention, leaving them overburdened and under-incentivized to focus on long-term health. CMS’s current reimbursement model favors expensive interventions while underpaying preventative care efforts like RPM and CCM, and even value-based care models struggle under the weight of financial risk providers are unwilling to bear. Instead of minor penalties like the Hospital Readmissions Reduction Program, a bold shift to outcome-based incentives—such as call options on rehospitalizations—could financially reward providers for keeping patients out of the hospital, realigning physician motivation with patient well-being.
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