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Medical providers are paid for quantity, not quality

Posted by Bobby Brown on January 23, 2023 - 8:13pm


High Cost: Problem #1

Most insurers—including Medicare—pay doctors, hospitals, and other medical providers under a fee-for-service system that reimburses each test, procedure, or visit. That means the more services provided, the more fees paid.

This can encourage a high volume of redundant testing and overtreatment, including for patients with a low potential for improved health outcomes.

On top of this, the U.S. medical system isn’t integrated. The World Health Organization 3 defines integrated health services as “the organization and management of health services so that people get the care they need, when they need it, in ways that are user friendly, achieve the desired results and provide value for money.”

So what does that have to do with cost? Integrated health means providers, management, and support teams communicate with one another on a patient’s care. In an unintegrated system, the lack of coordination can result in patients receiving duplicate tests and paying for more procedures than they truly need.

Time for A Change: Health Sharing Networks  https://blinq.me/kMPbizsPiYA2

Otto Knotzer Thanks for sharing
January 24, 2023 at 5:12am