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What we have obamacare it was supposed to save billions of dollars in health care costs.
You know that doesn't seem likely now doesn't however there's a movement that could really change medicine and maybe save a lot of money.
That is paid doctors and hospitals when the patient's stay healthy not when they get sick joining us now is another British.
-- -- Doctor Philip Cheatham is with a stop the welcome thank you very -- quite different from pretty good and it.
If you had -- in Massachusetts.
That -- this right they're trying to web adoptive reaches out to patients and says -- Come on it you need a hot check all our minds and -- -- with something like that if proactive on the part of the -- to.
My question is does -- save money.
What to -- a question and this is no and you Comsat.
-- -- Madison is what that being incentivized to do for patients.
This is in Massachusetts but if you time the clock back thousands of years ago I don't just an ancient China -- -- surprised.
To keep the patients while they -- got paid if doctors if the patients went to -- Also this model reflects some similarities with the purchase health caste system.
As you'll recognize GPs in the UK.
They got incentivized to provide stiff tax -- -- -- cholesterol -- -- tracks both our hospitals if they save money.
The hospitals are inside spent device -- -- get reported in this system in Massachusetts.
If that delta does not save them money.
And the doctors get penalized like have you expensive there.
I mean it is cost patient impose lifetime that they -- the doctrine is judged them so what's happening -- is that don't says are entering into contracts with insurance companies.
And that given what's called a label -- checks done and they get a sex amounts of money to take character capable of patients.
If they -- cops face patients economically.
And safe money than their rewards it.
If they do know let's -- -- the patients and spends money unnecessarily.
Then the latest -- of dogs -- penalized and that's connect is that that is interest.
So let's suppose you've got -- universe of 200 patients for one -- The insurance company says will give -- X number of Dulles.
To treat 200 people -- you go above those dollars and you gonna get penalized as a country -- -- pocket Iraq -- below that number about total cost for the 200 patients.
I was -- about maybe we'll give you some more money will you keep the difference that's how it works.
-- -- is actually quite interesting -- obviously with this kind of system is praising his columns incentivized to -- has to look.
Full -- for healthcare -- that patients are -- that thinking is this the way things stand yes -- -- -- the patients.
-- -- time to cast we have to get up look at not just look at the tallest.
But also look at quality control and this is one of the problems with monies have in the ninety think -- Barry very skeptical about that again.
And it -- -- -- -- be badgering me oh come on in mr.
Bonnie we need to check your blood pressure on gonna do that's gonna do that gonna do that but it does this mean.
I don't want.
Well you may -- -- because prevention is back to the cure and that state preventative medicine as much chief back.
And it would be -- -- to to have adults about singing about looking off your blood pressure your cholesterol.
-- sticking your your rent them waiting until your -- pressures I have to control you have.
Hot competency have a strike -- prevention is I think what.
Happens if some of the people moving -- -- given doctor okay some one of those 200.
They won't go in for the tests they just -- a minute news.
Well this is the problem I think yet but it what do you do I think the bigger problem is patients -- -- very sceptical about the situation suddenly in Boston many patients have quit these practice says.
And gone out -- at the end of thank you can't make the patients comment and -- will always be some patients who will not want nice for banks to Catholics and isolation.
Stay it's okay I'm I'm I'm Sonya I'm confused did you say some doctors have quit the system.
Nuts impatience and quit that practices in Boston because that consigned that this guy and they cost costing him and that quality -- will pay down.
-- what they're trying to do with pretty cross in Boston.
It's to track what the patients to catching -- -- That tracking weather that got to me screening investigations.
That tracking weather that prescribe the right medications that both are looking at patient satisfaction.
And if you don't just come down in any of those criteria.
Then they can't be penalized.
It's very interesting.
Doctor -- -- -- thanks for joining us today we do appreciate it thank you government look at.
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