Another threat to primary care?
Since the care management outfits are paid by the employer or the insurer (and not the patient), then its chief goal, obviously, is not to improve patient outcomes by making sure that doctors adhere to approved guidelines in all cases, but instead to reduce costs by making sure that doctors adhere to those guidelines that will result in less spending. Guidelines that will result in more spending will be ignored.
Related posts:
- AMA: Curbing the rise in health care costs is key to health-system reform
- Outsourcing quality management
- Some continue to think that health care is "free"
- Work-hour restrictions = scut management
- Multimorbidity, and why it’s difficult to care for complex medical patients
- My take: Night float, free medical school, triage and disease management
- My take: Mid-levels, health consultants, blogging
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