A revolution in how doctors are paid isn’t really changing how doctors are paid

"It’s one of the grand ideas that is supposed to revolutionize U.S. health care: reward doctors who keep patients well with fewer tests, procedures, and appointments.

That might register as barely profound to most of us, but it is a radical shift in the incentives that doctors and hospitals face. Under the Affordable Care Act, some doctor’s groups and hospitals have banded together in accountable care organizations to treat Medicare patients under this new philosophy. If the patient stays healthier with fewer appointments, the providers get a share of the cost savings.

But a new study published Monday in the Annals of Family Medicine examined how doctors have been making money in this brave new world vs. the status quo, and found pretty negligible differences."

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