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Thursday, 28 January, 2010

IN THE NEWS: Is fee-for-service billing outdated?

Is fee-for-service billing outdated?
In a new "Mythbusters" entry, the Canadian Health Services Research Foundation dismisses the notion that most Canadian doctors prefer to be paid fee-for-service. The foundation's analysis points to blended models of remuneration -- incorporating salaried work, capitation and some fee-for-service payments -- as the future of physicians' income. [CHSRF]

Patients get email advice
The Canadian Medical Association typically gives advice to its members: doctors. But it's branched out a bit with a new project to give guidance to patients on how best to communicate with their doctors via email. Among the pieces of advice are: keep it short, be clear, don't send attachments without permission, and "do not discuss more than one subject per email." [CMA Email Guidelines for Patients] [CMA News]

Posted by David Elkins and others at 12:00 AM

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3 comments:

  1. RE: How physicians move into the future

    The GP is a " knowledge worker". He/she must learn what that is, how the role is redefined and how the " work" is redefined and paid for.

    The future compensation package will include the patient and evidence of compliance.

    The patient will be part of the team with responsibilities to the payor.

    RE: How patients move into the future

    It is patronizing to simply " instruct".
    Now is the tme to "construct" a SAAT ( self assessment audit tool ) that performs across the care continuum as a progress note ( think of it as electronic WEED charting).
    This makes your patient your partner in the appropriate utilization of funds supplied.

    Therefore, do not simply control the patient...make him/her your partner in the management of his/her own case.
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  2. RE: new physician work structures:

    Remember the "Z"....

    .... the physician's work is the connector between the parallel lines and there is an algorithm for how that performs, is costed and measured in terms of "preferred" , " expected"and "actual" outcomes.

    And I predict/forecast that in a " social determinants of heath" perspective there will be " service offsets" to be traded in the future ;)
    ReplyDelete
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