5 steps to bipartisan cuts in Medicare – and the deficit

Medicare is the single greatest contributor to long-term deficits. If Democrats and Republicans cooperate on waste-cutting ideas – many of which are backed by President Obama – both parties stand to gain. Here are five ways Congress should act.

3. Reduce poor-quality and duplicative care

The current fee-for-service health-care payment system encourages doctors to perform more tasks rather than overseeing a patient’s overall care from beginning to end. That has led to expensive, disjointed, and often mediocre service, as well as wide price variation to treat similar conditions. Bundling payments, by grouping a set of services over a given period into one payment, gives providers an incentive for efficiency and coordination that is absent in today’s fee-for-service model.

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