Annie Brewster: “To begin, our medical reimbursement system must be restructured. Our payment system values invasive treatments and procedures over time spent talking with your doctor. We need to reset these compensation levels to favor communication, care coordination, disease prevention, and chronic disease management. Doctors should be rewarded for keeping patients well. Incentives should be based on quality outcomes and efficient resource use, not on patient volume.”
(via WSJ Health Blog)
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{ 2 comments }
Her proposed solution to “reset” compensation rates shows she’s stuck in the third party mindset that led to this problem.
She proposes payment for quality (P4P) as part of the solution. That’ll add to the paperwork mess we’re wallowing in now.
Finally, she implies that prevention will save money, AFAIK there’s no data to support that claim.
Plesae explain to me how “preventative care” will change the daily presentation of otitis, sinusitis or pharyngitis. Or for that matter how “resetting” the compensation for primary care will lead to more accurate, timely and effective diagnosis and treatment of these.
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