Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
I know of no one who is paid a bonus to deny needed tests or treatments. I would like to make sure everyone who works has a government agency sign off on how much they can make like they are trying to do on Wall Street and in health care.
Because you don't know about it, doesn't mean it doesn't exist!
Quote:
Results Data were analyzed for 766 physicians involved in managed-care systems. Thirty-eight percent of these physicians reported that their arrangements with the managed-care system included some type of incentive in the form of a bonus. Fifty-seven percent of the physicians reported that they felt pressure from the managed-care organization to limit referrals (17 percent said they believed such pressure compromised patient care), and 75 percent felt pressure to see more patients per day (24 percent believed such pressure compromised patient care). The physicians who reported that their financial arrangements included an incentive based on referrals were more likely than others to have felt pressure to limit referrals in a manner that compromised care (adjusted odds ratio, 2.5; 95 percent confidence interval, 1.2 to 5.0), and physicians with an incentive based on productivity were more likely to have felt a pressure to see more patients that they believed compromised care (adjusted odds ratio, 2.1; 95 percent confidence interval, 1.2 to 3.8). The physicians whose health care systems used incentives keyed to productivity were less likely than others to be very satisfied with their practices (adjusted odds ratio, 0.4; 95 percent confidence interval, 0.2 to 0.6), whereas those whose systems included incentives related to the quality of care or patients' satisfaction were more likely to be very satisfied (adjusted odds ratio, 1.8; 95 percent confidence interval, 1.1 to 3.0).
I can also show you links explaining how drug companies pay doctors to prescribe their medications.
Nope, I said needed tests. No where in your post did a physician say they denied a needed test or treatment. Incentivising physicians to contain costs does not equal incestivising physicians to do harm to patients.
Nope, I said needed tests. No where in your post did a physician say they denied a needed test or treatment. Incentivising physicians to contain costs does not equal incestivising physicians to do harm to patients.
If the patient doesn't get a referral to a specialist, that patient doesn't get the tests or specialized treatments the specialist would have ordered.
Nope, I said needed tests. No where in your post did a physician say they denied a needed test or treatment. Incentivising physicians to contain costs does not equal incestivising physicians to do harm to patients.
Quote:
The Supreme Court heard oral arguments last month in a high-profile case that turns on whether financial incentives to limit or deny care violate a plan’s fiduciary duties under the federal Employment Retirement Income Security Act (ERISA). A decision is expected in June.
The case, known as Pegram v. Herdrich, was accepted by the Court after a federal appeals court ruled in favor of Cynthia Herdrich of Illinois. She alleged that her HMO and its health plan violated their fiduciary responsibilities under ERISA by giving its physicians financial incentives to deny care.
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.
Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
