Beginning in 2015, payment would be reduced by five percent if an aggregation of the physician‘s resource use is at or above the 90th percentile of national utilization. After five years, the Secretary would have the authority to convert the 90th percentile threshold for payments reductions to a standard measure of utilization, such as deviations from the national mean.
People worry that bundled payment models will make doctors order fewer tests. You don't have to worry. The government is already planning on making it happen.
