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Read the excerpt below on a physician perspective on value based reimbursement and let me know your thoughts. According to Dr. Berger, “the trend toward paying doctors based on patient outcomes is well-intended but poorly implemented. Doctors get rewarded when their patients do better, but in practice, these measures fail to take into account an inordinate number of uncontrolled factors—non-compliance being the biggest one. What about the doctors who take on all the complicated and most difficult cases, which from the start will have poorer outcomes? What about the fact that doctors can do everything right, but you, the patient, may still have a bad outcome? Forget the very real threat of being sued—now, we might not even get paid despite having done everything right. Again, this doesn’t happen in any other industry. Why is it OK in medicine? Focus on quality primary care It’s been shown that patients with low income, unemployment, and/or lack of insurance frequent the ER for non-urgent (primary care) issues more than those who are insured. Studies also demonstrate that access to primary care follow-up after ER visits for higher-risk populations reduces the rate of return visits to the ER. Those most at-risk patients do benefit from such access to care—and so does the system economically. Some studies even show that simply having nurses call and check on patients who were in the ER and discharged decreased their return visits, as well as the overall cost to the system. The same principle can be applied to reduce overall costs while simultaneously providing a minimum of basic health coverage. In 2018, only 7 percent of men and 8 percent of women received the recommended preventive services. We already know that getting preventive care reduces overall costs to the health care system and even saves lives. So promoting and improving access to such care seems to be a no-brainer to this physician. An excellent way to ensure that is to provide some basic level of private or government-funded universal coverage.” Berger MD, A. (2024, October 6). Why doctors must take charge to save our failing health care system. https://kevinmd.com/2024/10/why-doctors-must-take-charge-to-save-our-failing-health-care-system.html

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