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How does this happen under value based care? What’s to stop providers from just gaming the metrics and gaslighting people into thinking there’s nothing that can
by philwelch 3y ago
How does this happen under value based care? What’s to stop providers from just gaming the metrics and gaslighting people into thinking there’s nothing that can be done for their complicated and expensive medical problems?
- HDThoreaun 3y agoThere are a variety of metrics that are tracked and difficult to game. The easiest to explain is rate of rehospitalization. If patients return to the hospital within x months of being treated at a higher rate than other hospitals you face heavy penalties. Then there's survey results and the like, it's not that hard to come up with reasonably objective metrics that are out of providers hands and therefore difficult to game. In the end it's still a competition, if a patient is unhappy with the care they can switch providers.
- philwelch 3y ago> In the end it's still a competition, if a patient is unhappy with the care they can switch providers. So providers have an incentive to encourage adverse selection and keep the “difficult patients” away from their practices.
- HDThoreaun 3y agoProviders are paid more to deal with “difficult” patients. Of course it’s a risk but for the right price everyone will be taken care of.