After listening to his recounting of the fines involved, I'm surprised the 46% number of physicians leaving the profession is so low.
If the fines are actually real and apply, it will be 100%. I would bet it won't happen.
I hope they can do it per-patient and not across the board. Right now, when they set expectations of how care goes, do to anything different and get paid requires paperwork to explain the variance. Then they have the option to not pay for what you needed and usually got (cuz how do we not do what needs to be done once you are in a hospital?)....
Did you know when you got in for a surgery, they approve a certain number of days in the hospital and if you are there longer, for any reason, the hospital may not be paid?
Doing it per-patient might actually mean they say "Okay, do the heart surgery" on the diabetic and they know and approve the length of stay you end up needing....rather than basing the length on some avg that does not take other health factors into the decision.
Hopefully, the gov itself will put on training to let docs and hospitals know what's what and then as it is applied, people will figure it out and even work to change anything too wrong with it.
I hate to tell you all but it wasn't perfect before.