Pre-reform Pet Peeves and Shenanigans
It seems insurers, doctors and medical corporations will do whatever it takes to maintain their current income levels, but how do we change the incentives?
It seems insurers, doctors and medical corporations will do whatever it takes to maintain their current income levels, but how do we change the incentives?
To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio.
Related Articles Kaplan Wrote on HCPLive.com: The Chilling Effect of Cost Containment "One Cannot Measure What One Does Not Manage": HIT -- "Doc, I'm here to help ya." (Part XIII-p) More Primary Care, Lower Physician Pay, and Cheaper Medical School Rooting Out Fraud and Abuse: Part 2 Physicians to Take a Big Pay Cut from Medicare "One Cannot Measure What One Does Not Manage": Healthcare for All—What's it Gonna Cost? (Part XIII-q) For Reform to Go Forward.... But My Patients Are Sicker!
Fraud and financial abuse must go if reform is to come; here are two pieces that strike at the heart of the matter. "Rooting Out Fraud and Abuse: Part 1" (The 64 Item Shenanigan's Hit List) Thursday, August 13, 2009 The concept of health care reform is pointless unless we address fraud and waste. It matters little whether providers are cognizant of the fact they are defrauding or are just financial dullards. "Rooting Out Fraud and Abuse: Part 2" Friday, August 21, 2009