It strikes me that so many of these problems would be substantially improved by surfacing quality measures directly to patients. This can be achieved by patient portals or third party patient-facing EHRs. It’s time we directly empower patients to take care of themselves. The ultimate incentive-alignment is a patient’s own health!
Perhaps health plans can devise ways to financially incentivize patients for meeting their own care gaps? Pay back a percentage of the money earned to patients.
it would be pretty revolutionary for carriers to have long-term horizons. most people switch plans every few years so things are optimized for that type of turnover unfortunately.
Thank you posting the problems related to quality measurement. I run my medical practice, have worked in value based care and currently in vbc contracts. I agree with the problems with data collection and insurance companies hold most of the cards when submitting supplementary data to prove that we took care of patients. Incidentally.
I do disagree about cancer screening saving money down the road. JAMA published an article that cancer screening does not decrease all cause mortality. Annals of IM published another article that the cost of annual screenings in $43billion mostly driven by colonoscopy (and this does not capture any follow up cost). The data for colonoscopy is based on observational data and the only RCT (NORDIIC trial) did not show any benefit in people invited for colonoscopy.
Besides data collection issue, this creates a bias “for” screening. If we tell people about the NORDIIC trial, several people may choose not to undergo colonoscopy and that penalizes the primary care doctor (I am not against screening, I think people should make an informed decision).
As an independant primary care physician, I am trying to raise awareness about the financialization of medicine on my website www.PCPLens.com.
It strikes me that so many of these problems would be substantially improved by surfacing quality measures directly to patients. This can be achieved by patient portals or third party patient-facing EHRs. It’s time we directly empower patients to take care of themselves. The ultimate incentive-alignment is a patient’s own health!
Perhaps health plans can devise ways to financially incentivize patients for meeting their own care gaps? Pay back a percentage of the money earned to patients.
it would be pretty revolutionary for carriers to have long-term horizons. most people switch plans every few years so things are optimized for that type of turnover unfortunately.
Not sure what you mean. Which long-term horizons?
investing in social factors/lifestyle decisions that accrue benefits over decades, but that all goes away if their member/patient switches plans.
I meant surfacing quality metrics for shorter term goals too, like the blood pressure recordings, annual well checks and the like
Thank you posting the problems related to quality measurement. I run my medical practice, have worked in value based care and currently in vbc contracts. I agree with the problems with data collection and insurance companies hold most of the cards when submitting supplementary data to prove that we took care of patients. Incidentally.
I do disagree about cancer screening saving money down the road. JAMA published an article that cancer screening does not decrease all cause mortality. Annals of IM published another article that the cost of annual screenings in $43billion mostly driven by colonoscopy (and this does not capture any follow up cost). The data for colonoscopy is based on observational data and the only RCT (NORDIIC trial) did not show any benefit in people invited for colonoscopy.
Besides data collection issue, this creates a bias “for” screening. If we tell people about the NORDIIC trial, several people may choose not to undergo colonoscopy and that penalizes the primary care doctor (I am not against screening, I think people should make an informed decision).
As an independant primary care physician, I am trying to raise awareness about the financialization of medicine on my website www.PCPLens.com.
Looking forward to reading more of your articles.
When you discretize continuous phenomena...