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An Rx? Pay More to Family Doctors
Keywords:
U.S. health insurance company WellPoint Inc. will offer higher payments to primary care physicians. This is part of new strategy to reduce emergency room visits and costs after deterioration in a patients condition by relying on primary care physicians for better care at the outset. Payments to primary care physicians will be increased by 10%, with higher payments when the results show better quality and preventive care. WellPoint has a network of 100,000 primary care doctors. Physicians who meet certain goals such as lowering the overall cost of a patient's health care costs will be given an incentive of 20-30% of the savings realized. The new effort will add 1-2 percentage points to the 6-8% of the $100 billion that Wellpoint pays for claims processed each year. WellPoint's management sees a reduction in medical costs of about 20% by 2015 as a result of such efforts.
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The significance of focussing on primary care or family practice for improving health care outcomes and reducing cost in the U.S.
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On average patients spend only 30 minutes with family practice physicians in the U.S. compared to one hour in European countries. This results in more testing by medical specialists and less preventive care. The lack of focus on primary care in the U.S. is a glaring deficiency with large negative impact. It is evidence of the commercialization of medicine in the U.S. to the point where this poses real dangers.
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Linked Articles
An Rx? Pay More to Family Doctors
Wall Street Journal 01/27/2012
Group Offers Doctors Bonuses for Better Care
Wall Street Journal 01/31/2008
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