Posted in Access to healthcare, Direct-Pay Medicine, Direct-Pay Practice Models, Doctor-Patient Relations, Economic Issues, Independent Physicians, Medical Costs, Medical Practice Models, Patient Choice, Patient-centered Care, Policy Issues, Prevention, primary care, Quality, The Quadruple Aim, The Triple Aim, Uncategorized, Wait times to see a doctor

The Solution to Making Our Healthcare System Affordable May Be a Lesson From Our Past | Jeffrey Gold | LinkedIn

Jeff Gold
Dr. Jeff Gold

For a state that prides itself on providing superior healthcare services for its citizens, Massachusetts is emerging as the state that no other state wants to emulate. No matter how much policymakers

Source: The Solution to Making Our Healthcare System Affordable May Be a Lesson From Our Past | Jeffrey Gold | LinkedIn

Posted in Access to healthcare, Consumer-Driven Health Care, Direct-Pay Medicine, Direct-Pay Practice Models, Disease Prevention, Doctor-Patient Relations, Doctor-Patient Relationship, Economic Issues, Entrepreneurs, Evidence-based Medicine, Government Regulations, Medical Costs, medical inflation, Medical Practice Models, Medicare, Organizational structure, Patient Safety, Patient-centered Care, Policy Issues, Prevention, primary care, Quality, Technology, Telemedicine Trends, The Triple Aim, Third-Party Free Practices, third-party payments, Uncategorized, Unsettled Science

The Sovereign Patient Top 10 most viewed posts of 2015

 

top-10-list

  1. Medicine Is About to Get Personal | TIME
  2. MyDoc – Personal Physician Services | Robert Nelson, MD.
  3. Statins in Primary Prevention: Welcome to the Gray Zone

  4. Atrial Fibrillation Care: Put the Catheter (and Rx Pad) Down

  5. About This Blog

  6. How Government Regulations Made Healthcare So Expensive | Blog | Mises Institute

  7. Not Running a Hospital: The Triple Aimers have missed the mark

  8. The 7 Organizations That Will Turn Healthcare Upside Down In 2016 – Forbes

  9. Video: The Importance of Market Forces and The Effect of Government Intervention in Healthcare Costs – by Eline van den Brock of the European Independent Institute

  10. The Core Beliefs of the Delightfully Successful | LinkedIn

Posted in Doctor-Patient Relations, Doctor-Patient Relationship, outcomes, outcomes measurement, primary care, Quality

HARVARD BUSINESS REVIEW: Strong Patient-Provider Relationships Drive Healthier Outcomes | The Direct Primary Care Journal

Michael Tetreault - Editor Direct Primary Care Journal
Michael Tetreault – Editor Direct Primary Care Journal

With over 50% of primary care providers believing that efforts to measure quality-related outcomes actually make quality worse, it seems there may be something missing from the equation. Relationships may be the key. Surveys consistently demonstrate that patients prioritize both the interpersonal attributes of their providers and their individual relationships with providers above all else. Doctors also ascribe great value to relationships. Kurt Stange, an expert in family medicine and health systems, calls relationships “the antidote to an increasingly fragmented and depersonalized health care system.”

Source: HARVARD BUSINESS REVIEW: Strong Patient-Provider Relationships Drive Healthier Outcomes | The Direct Primary Care Journal

Posted in Access to healthcare, advance-pricing, British National Health Service, Consumer-Driven Health Care, CPT billing, Direct-Pay Medicine, Direct-Pay Practice Models, Doctor-Patient Relations, Doctor-Patient Relationship, Economic Issues, Free-Market, Health Insurance, Healthcare financing, Independent Physicians, Medical conditions and illness, Medical Costs, Medical Practice Models, Patient Choice, Patient Safety, Patient-centered Care, Policy Issues, Price Tansparency, primary care, Quality, Third-Party Free Practices, Uncategorized, Wait times to see a doctor

Common Sense Economics: Aligning Incentives with Evidence-based Care | Robert Nelson, MD | LinkedIn

fig2Standard economic theory in healthcare assumes that demand for medical services is inelastic. Simply stated, inelasticity means that demand for certain medical services remains fairly high and constant despite rising prices; whereas with a commodity that is elastic, higher prices will cause demand to fall and vice versa.

While inelastic demand applies to high acuity and critical illness, a large portion of the medical care consumed in this country is habitual and learned based on flawed assumptions about treatments and effectiveness of intervention. Over-utilization is further exacerbated because of our perverse payment and billing model which drives artificially high demand with minimal price considerations beyond a small co-pay.

A peculiarity of our healthcare system that contributes to lumping the vast majority of medical services into the inelastic category is the fact that PPO health plans require virtually all encounters with providers to be billed under the health plan, regardless of how minor or regardless of necessity. This forces analysts and economists to look at aggregate utilization and spend; or average per capita costs and utilization rates based on claims and generally irrespective of medical necessity.

In reality, a significant portion of our medical care consumption in this country is elective, non-emergent and in many cases unnecessary – or at the very least forced into unnecessarily expensive venues such as urgent care or ER. This spans the gamut from colds to constipation and backaches to boo-boos and a whole lot of unnecessary visits in between (like work excuses for mental health days).

Indeed, this same segment of medical care consumption has the potential for much more price elasticity of demand than we have been led to believe. The problem is, our current method of buying and billing for healthcare services has resulted in neutralizing the market forces that would normally allow prices to be affected by demand in these areas.

Nowhere is this more evident than with the millions of annual visits to doctor’s offices, Urgent Care centers and Retail clinics for colds and other upper respiratory illnesses.

Read entire article via Common Sense Economics: Aligning Incentives with Evidence-based Care | Robert Nelson, MD | LinkedIn.