GOODMAN: Bernie Madoff accounting for Medicare

Top-down cost-cutting gimmicks will result in low-quality, high-cost care

by John C. Goodman

Source: The Washington Times

On the eve of the release of this year's Medicare Trustees Report, the Obama administration presented its own version. According to the administration's telling:

Obamacare will save taxpayers $200 billion in the Medicare program through 2016.

About 90 percent of these savings will be produced by lowering "excessive payments" to Medicare Advantage plans, lower payments to doctors, hospitals and other providers to reflect their "improved productivity" and through efficiencies gained by what is learned from "demonstration projects."

The demonstration projects include pay for performance, bundling, accountable care organizations and other frequently discussed ideas.

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