WHOA, the physician community is not so happy about this.
This is a new system funded by the Robert Wood Johnson foundation, and is akin to forced capitation. Obama and the current administration are quite interested in this, and various states, including my own are thinking about implementing it as well. I'd be interested in Happy's take on this.
I wonder how the guys in McAllen would take this.....(ducks)
More HERE
3 comments:
I worked for a dentist who had a few patients with a capitation plan. They only had a few, because they stopped accepting it after only a few years, but still had these patients for years. That actually turned out fine - most rarely came in, so the doc received his paltry (and I mean paltry!) sum. What I see possibly happening here, though, is an even greater basis for caregivers to despise the non-compliant...and eventually try to drop them.
Oops - the dentist stopped accepting new patients, but kept those already established.
It would be really interesting to see what some of the "medicaid mills" of NYC turn into. Many docs outside of Manhattan (Bronx, Brooklyn, Queens) pack patients in to increase fee for service, and really do a few unnecessary things (Q Month B12 injections in patients with mild Fe deficient anemia without a Hx of gastric surgery, so they can charge 25 bucks under the table... "it will give you more energy")... It would certainly be a paradigm change, but I'd be surprised if this got pushed through in the next 5-7 years.
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