Comparative Ethics of Modern Payment Models by Jacob Riegler

“…Fee-for-service has incentivized higher patient volume over quality time with patients, leading to 10- to 25-minute patient visits.[3] Payments based on any metric implicitly direct patient care by moving provider action toward the metric the payment is based on, regardless of intent or conscious effort.[4] For example, when the paying body financially rewards hospitals for shorter inpatient stays, then the average length of stay will decrease.[5] Payment for care has numerous, widespread effects on how patients experience care and even the quality of care they receive, creating ethical and economic issues. …”
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