Here Comes Bundled Payments

 focus on bundling

I am a strong believer in bundling payments.  Done well, bundling is a WIN-WIN for all.  The current Medicare payment system treats physicians like criminals.  Every potential claim is fraud.  Any formula that buries E&M coding is a system worth evaluating.  I could easily double the number of patients I see everyday if I wasn't forced to document worthless information every single time I open a patient chart. Bundling forces physicians to reevaluate, at every step of the evaluation, what is necessary and what isn't.  There is a lot of unnecessary productivity in medical care.  Fee for service has a way of creating business that need not be created.  Will less be done under bundled care?  Yes, I think so.  Is that a bad thing?  I don't think so at all.