He has a POV. Watch the examples. You saying a woman won’t get a D&C to check causes for bleeding because the doc doesn’t want to share a portion of the fee reimbursement with the gyn?
Let’s pretend I am a cardiologist. I see patients. I also own a company who owns the equipment to do the scans.
Isn’t the government cracking down on doctors owning the testing equipment with the idea being doctors will order too many tests if they profit by more testing?
The Medicare reimbursement to hospitals allowed cardiologists to recoup higher fees via hospital billing, reportedly sending cardios to ally with the hospitals in droves, in some areas. Medicare is onto this. Some of this needs to be viewed through the healthcare lens and some through the business and regulatory angles.
I have explained as best I can.I linked some articles about Insurance reimbursement models but got the sense from the response that would take this thread in the wrong direction. This one might help explain some of these healthcare payment models: https://www.acponline.org/running_practice/delivery_and_payment_models/ And the pay for performance model is , IIRC, already being tested in MA or VT or somewhere.
dstark, that conflict of interest, self-referral ship sailed a long time ago. There were radiologists and such who owned MRI facilities. That was a problem.
I didn’t see anything scary in your first link, jym. Part of this is, rather than have patients running around, checking this doc or that, it’s managed from a more central medical perspective.
dstark, you might like this reference:
http://starklaw.org/