Mar 21, 2019

Medicare's bountiful new payment system

More than 90% of doctors and other clinicians participating in Medicare's new payment system received bonuses in the first year of its rollout. That includes 71% who were "exceptional," according to a report from the Centers for Medicare & Medicaid Services.

The big picture: The goal of this system is to encourage doctors, nurse practitioners and others to provide better care.

  • But the Medicare Payment Advisory Commission believes this payment system "will not be successful" and "should be eliminated" as soon as possible, because of its complexity and because it's almost impossible to compare who is doing well. Clinicians choose their own measures to be graded on.
  • The financial carrots also are limited. Bonuses for "exceptional doctors" ranged between 0.3% and 1.9% in this first year, and some with "high" quality marks may get no bonus at all.

Go deeper ... Growing trend: Employers doling out bonuses instead of raises

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Situational awareness

Photo: Drew Angerer/Getty Images

Catch up on today's biggest news:

  1. Scoop: New White House personnel chief tells Cabinet liaisons to target Never Trumpers
  2. Trump misrepresents 2020 Russia briefing as Democratic "misinformation"
  3. Bernie Sanders takes aim at Bloomberg: "Trump will chew him up and spit him out"
  4. Nearly half of Republicans support pardoning Roger Stone
  5. Scoop: Lyft acquires cartop advertising startup Halo Cars

Sanders takes aim at Bloomberg: "Trump will chew him up and spit him out"

Photo: Mario Tama/Getty Images

Bernie Sanders told CBS "60 Minutes" that he was surprised by Mike Bloomberg's lackluster performance at Wednesday's Democratic debate.

What he's saying: "If that's what happened in a Democratic debate, you know, I think it's quite likely that Trump will chew him up and spit him out."

Scoop: Lyft acquires cartop advertising startup Halo Cars

Photo: Drew Angerer/Getty Images

Lyft has acquired Halo Cars, a small startup that lets ride-hailing drivers earn money via ad displays mounted atop their cars. Lyft confirmed the deal but declined to share any details.

Why it matters: Ride-hailing companies are increasingly eyeing additional ways to generate revenue, and Lyft rival Uber has been quietly testing a partnership with New York-based Cargo that gives it a cut of the advertising revenue, as I previously reported.