Our judicial system's bias against shifting fees partly explains that reluctance, but Section 285 is flexible enough to help defend against trolls.
And he made deals that shifted costs to Citizens, a cash-rich company in which he had a negligible stake, and shifted fees to Century Communications, a cash-poor company in which he owned a big stake.
That's a bait-and-switch tactic that's been used since the dawn of time — "The first one's free" — and ISPs are notorious for having opaque and shifting fees and restrictions.
Also, the idea of shifting fees to the losing party could induce individuals and less-capitalized companies to not pursue reasonable claims given that a larger company would have more resources, and thus could dump huge fees after a victory on the smaller party.
Yeshwant also feels one of the biggest challenges (and opportunities) in healthcare is helping healthcare organizations shift from fee-for-service to fee-for-value.
But there is no doubt that rerolls and wrap-and-rolls shifted future fees into current reported revenue, pumping up the present at the expense of the future.
Hospitals are combining with other hospitals, doctor's offices and even insurance companies as payment models shift from fee-for-service to a per-person rate in which providers are expected to manage most of a patient's care, requiring coordination among doctors and facilities.
Like many health economists, he felt that the reform the U.S. health system needed most was a shift from fee-for-service to pay-for-performance.
Dan Hogan, Medalogix: The shift in fee-for-service to value-based care is the most disruptive development American healthcare has ever experienced.
This change involved a shift from fee reimbursement for health care to payment by disease modules or by capita in a large proportion of the population.
The shift from fee for service, which health facilities are accustomed to, to a DRG-based payment system is not simple.
