Obamacare is placing doctors squarely in the crosshairs. The Centers for Medicare and Medicaid Services (CMS) has initiated a labyrinth of programs which will make government reimbursement for medical services even more of a nightmare for the targeted group.

Under a provision of the 2010 healthcare law Medicare payments will be tied to cost containment and quality of care. The Physician Value-Based Payment Modifier Program, according to experts like Donald Berwick of the Center for American Progress, reflect the “theme” of Obamacare: “value-based purchasing.”

Doctors are being informed by Centers for Medicare and Medicaid Services (CMS) they will face stiff penalties, in some case retroactive, if they do not comply with certain requirements in a timely manner.

The group is already set to take a 27% Medicare pay cut beginning next year and with the tangled web of regulations, medical professionals are reporting the programs are so confusing they don’t know what to do to earn a bonus or avoid a penalty.

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