HSR-003: Fee-For-Service Plans in Health System Reform
Fee-for-Service Plans in Health System Reform: The Wisconsin Medical Society will support health system reform plans that:
- Provide universal access to include reasonable basic benefits, patient education and significant patient responsibility for their own health care choices and behavior.
- Include a true fee-for-service option, including balance billing.
- Allow physicians and patients choice of plans and physicians.
- Alleviate regulatory hassles and preserve high quality care.
- Provide meaningful antitrust relief, including the ability for state and county medical societies to form partnerships of physicians for the purpose of being “accountable health plans.”
- Provide true tort reform.
- Provide significant insurance market reforms.
- Recognize the physician’s responsibility and authority in medical decision-making and treatment in conjunction with the patient.
- Charges for services should be derived, billed and made available for public information in advance and in a clear and transparent manner. Specifically, the Society supports transparency in charges and insurance payment for these charges for health care delivery systems, insurers, payors and third-party administrators.
The Society also supports outcome and price transparency disclosures for hospitals and health systems. (HOD, 0418)