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You're neglecting customer loyalty, and patient throughput. A doctor who (correctly) says "there's nothing I can do for you; ger some rest and you'll get better
by eszed 2y ago
You're neglecting customer loyalty, and patient throughput. A doctor who (correctly) says "there's nothing I can do for you; ger some rest and you'll get better" will be seen as "uncaring" and patients will de-register from their practice. They'll also have to spend time arguing / "educating" obstreperous patients, and earn less. A doctor who writes a (perhaps unwarranted) prescription finishes the visit faster, and gets better patient reviews.
I'm not making this up. A medical provider up-thread made this point.
- nradov 2y agoThat's a separate issue unrelated to the fee-for-service financial model. The same issue would still exist under any model where patients can pick their providers, including capitated VBC.
- aurizon 2y agoMakes me wonder why there is such a death grip on the fee for service model?
- nradov 2y agoFee-or-service is the simplest and lowest risk model for providers. Anyone can submit a claim using a standard EDI transaction or paper form. Capitated models only work for larger health systems that can deliver most common services under one roof, and that have the necessary IT and actuarial competence to price risk for a patient population accurately. There is an emerging set of technical standards which can make this a bit easier. https://www.hl7.org/about/davinci/ https://www.hl7.org/about/davinci/
- aurizon 2y agoYes, ignorant clients 'beg' the magic bullet.