Should doctors be paid for results? - PowerStrokeNation : Ford Powerstroke Diesel Forum
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post #1 of 31 (permalink) Old 03-05-2010, 05:00 AM Thread Starter
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Question Should doctors be paid for results?

Interesting Concept

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Insurance Commissioner Thomas Sullivan suggested a hypothetical situation in which doctors are paid based on their patients' health rather than per visit during a speech Tuesday to property-casualty insurance agents.

"What do you think would happen to the medical community if that was the behavior?" Sullivan asked. "Instead of an environment which, today, rewards practitioners for, 'Oh, I saw you today I've got to see you again next week,' or, 'I want to order another X-ray because I'm afraid of litigation.'"
I don't see it ever happening because I'm not sure how you can ever account for the tougher cases versus the easier ones.

Which is the same reason (legitimately) given for not publishing individual doctors success/survival rate. If they were judged solely on successes, a lot of them would stay away from the tougher cases.

On the other hand, it is a lot like the teachers dilemma. If you don't have some way to measure their efficiency/productivity..............how do you know who are doing their jobs correctly?

I'm not sure what the final answer is but, it's an interesting twist to the mess we're in now.

Never have so many politicians, screwed so many Americans...just to make one black person lose his job.
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post #2 of 31 (permalink) Old 03-05-2010, 05:16 AM
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Re: Should doctors be paid for results?

I only go to doctors that drive Powerstrokes and arent very political. You mention teachers, BTW my 10th grade gym teacher used to be in a biker gang, it was like brothers of the cross or something.

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post #3 of 31 (permalink) Old 03-05-2010, 01:41 PM
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Re: Should doctors be paid for results?

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Originally Posted by AK Gandy View Post
Interesting Concept



I don't see it ever happening because I'm not sure how you can ever account for the tougher cases versus the easier ones.

Which is the same reason (legitimately) given for not publishing individual doctors success/survival rate. If they were judged solely on successes, a lot of them would stay away from the tougher cases.

On the other hand, it is a lot like the teachers dilemma. If you don't have some way to measure their efficiency/productivity..............how do you know who are doing their jobs correctly?

I'm not sure what the final answer is but, it's an interesting twist to the mess we're in now.
Just a thought but doing this would in effect increase costs due to increased workload and tracking

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post #4 of 31 (permalink) Old 03-05-2010, 01:46 PM Thread Starter
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Re: Should doctors be paid for results?

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Just a thought but doing this would in effect increase costs due to increased workload and tracking
What I'm hearing in this guy's opinion, is that he thinks costs would go down.

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"What do you think would happen to the medical community if that was the behavior?" Sullivan asked. "Instead of an environment which, today, rewards practitioners for, 'Oh, I saw you today I've got to see you again next week,' or, 'I want to order another X-ray because I'm afraid of litigation.'"

Never have so many politicians, screwed so many Americans...just to make one black person lose his job.
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post #5 of 31 (permalink) Old 03-05-2010, 01:52 PM
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Re: Should doctors be paid for results?

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Originally Posted by AK Gandy View Post
What I'm hearing in this guy's opinion, is that he thinks costs would go down.
The problem is the theory that that the commissioner uses to arrive at that assumption. He thinks Dr's are just doing follow ups to be able to bill for more

Follow up visits are intended to check progress of treatments and medications.


Multiple Xrays are used to view different angles of injuries. Follow ups are used to track progress

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post #6 of 31 (permalink) Old 03-05-2010, 01:57 PM Thread Starter
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Re: Should doctors be paid for results?

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Originally Posted by Dave View Post
The problem is the theory that that the commissioner uses to arrive at that assumption. He thinks Dr's are just doing follow ups to be able to bill for more.
You're probably right.

I can't imagine that ever happening.


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post #7 of 31 (permalink) Old 03-05-2010, 02:04 PM
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Re: Should doctors be paid for results?

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Originally Posted by AK Gandy View Post
You're probably right.

I can't imagine that ever happening.

Anyone that actually works in the medical field will tell you thats not the case.

When placed on alot of different medications or changes to treatment plans are made follow ups are required to monitor effects to different body systems.

Heres an example. A patient is diagnosed with hypertension. He or she is placed on a beta blocker or other med to get his blood pressue under control. Follow up visits are required because those meds can also effect potassium levels, respiratory effort and alot of other things.

Follow up visits are required with trauma cases as well to monitor progress and to insure that the patient is able to regain as close as possible to pre injury use of that extremity

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post #8 of 31 (permalink) Old 03-05-2010, 02:15 PM Thread Starter
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Re: Should doctors be paid for results?

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Originally Posted by Dave View Post
Anyone that actually works in the medical field will tell you thats not the case.

When placed on alot of different medications or changes to treatment plans are made follow ups are required to monitor effects to different body systems.

Heres an example. A patient is diagnosed with hypertension. He or she is placed on a beta blocker or other med to get his blood pressue under control. Follow up visits are required because those meds can also effect potassium levels, respiratory effort and alot of other things.

Follow up visits are required with trauma cases as well to monitor progress and to insure that the patient is able to regain as close as possible to pre injury use of that extremity
Please don't get me wrong, I am by no means saying that all follow-up visits are unnecessary.

But, I also believe that if a doctor knows that a patient has good insurance............. that there is sometimes a temptation to maximize their visits (income).

And I admit that I am going by anecdotal, albeit first hand, experience.

Never have so many politicians, screwed so many Americans...just to make one black person lose his job.
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post #9 of 31 (permalink) Old 03-05-2010, 02:22 PM
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Re: Should doctors be paid for results?

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Originally Posted by AK Gandy View Post
Please don't get me wrong, I am by no means saying that all follow-up visits are unnecessary.

But, I also believe that if a doctor knows that a patient has good insurance............. that there is sometimes a temptation to maximize their visits (income).

And I admit that I am going by anecdotal, albeit first hand, experience.
Can I ask what you were being seen for that you think a follow up was unnecessary?

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post #10 of 31 (permalink) Old 03-05-2010, 02:29 PM
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Re: Should doctors be paid for results?

Guess no one has a problem paying for politicians and religious leaders getting paid based apon their lack of results.

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