Posted: 8/14/2012 11:03:38 AM
We are already seeing a national discussion and impetus for decreased testing with new guidelines for mammography, PSA testing, EKG's, CT scans for back pain, etc.
Many physicians will have to make financial sacrifices/join ACO's in order to keep working. That is their unfortunate new reality unless they maintain their private practice, retire or have the ability to opt out of insurance entirely(few will have that capability). There will be a shortage of internists/primary care providers in the near future, especially with the PPACA adding 30 million to the insured pool.
Sacrifices need to be made by all, including necessary tort reform. Democrats have failed miserably in this area and are in the trial lawyers' pockets in that regard.
If you know any cardiologists, they would be the most aware and informed of the changes afoot. Most have seen reimbursements drop for their major procedures and many are being forced to accept ACO's as their new business model. Speak with one and it will be enlightening.
Physician's really have little say in the current changes unless they unionize and go on strike. Which will never happen.