In Maryland, A Change In How Hospitals Are Paid Boosts Public Health [NPR.org]

Samantha Sangenito 10/26/1512:00 PM

Think for a moment about what would happen if you upended the whole system of financial incentives for hospitals.

What if you said goodbye to what's known as fee-for-service, where hospitals are paid for each procedure, each visit to the emergency room, each overnight stay? What if, instead, hospitals got a fixed pot of money for the whole year, no matter how many people came through the door?

Would a change like that make hospitals rethink the way they care for patients? Would they think more creatively about how to keep people healthier so they wouldn't come to the hospital at all?

Those very questions are being asked in Maryland, where an experiment in how hospitals are paid has been underway since early last year.

[For more of this story, written by Audie Cornish, go to http://www.npr.org/sections/he...boosts-public-health]

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