What would be extreme fear? That a Dr. would be reticent to refer out for a $2500 -$3000 procedure if it was going to come out of his pocket because he would have to share the bundled reimbursement with the other Dr to whom he referred and might have to justify how it helped with treatment outcome? It isnt fear. This was an example given at a conference presented by a person who sits on organizational leadership committees and the policy and planning healthcare boards, was for 15 years a representative on the AMA’s CPT panel, then elected to a voting position on the CPT panel, as well as serving on the Center for Medicare and Medicaid’s Medicare Coverage Advisory Committee. When he talks, I usually listen.