Are the payors ready for this?
The economic fear prong of the Hobbs Act may be used to prosecute political corruption, as long as there is an affirmative act of inducement; but only the payees (bribe-takers), and not the payors may be reached (the latter have a defense of duress).
When the physicians themselves undertake the initial task of network formation, payors may substantially reduce the costs of the payors' entry and expansion.
It suggested that payors would support consumers in shaping health care and the organizations that provide it, rather than having the payors assume leadership.
Costs reported are specific to the payors included in the database and reimbursement for transplantation through other payors (e.g., Medicare) may be different.
It is against this backdrop that payors have started to look at approaches that better align the interests of the patient and the payors, and pay-for-quality incentives schemes have emerged as an important lever.
