Too many physicians lack the skills to discuss end-of-life wishes with patients. It is awkward for the doctors to even bring up the topic in certain circumstances. Doctors are trained to save peoples’ lives, not to give up on them. But physicians need to change their mindset.
Doctors' pay is slowly but steadily improving, Medicare’s sustainable growth rate is a thing of the past and demand for primary care physicians is surging under the Affordable Care Act. So why aren’t doctors happier when it comes to their salaries?
Let me state this from the start: I believe CMS Acting Administrator Andy Slavitt when he says that the rules of his agency’s Medicare reimbursement reform don’t slight small practices and are designed to make it easier to report quality data.