Hey doc, you and I agree. I have a long comment condensed down into a short comment echoing your point:
Value based care is antithetical to how CMS reimburses procedures, and therefore how interventional cardiology and orthopedic surgery gain political power within a hospital system. It looks like there are perverse incentives created by the healthcare financial system (I am an outsider, a psychiatrist, and neither a proceduralist nor a hospital administrator).
Psych is a loss leader, closely followed by the other Medicaid services — pediatrics and obstetrics. Hospitals provide these services only if required to do so: top tier services are funded only when handcuffed to low tier services.
It feels like a “medical industrial complex,” and it seems totally insurmountable.
The same people that lead to corruptions can't be the one that fix the system.
Precisely. We can work together with communities and employers to begin the change.
Indeed. And we need to make it worth it to their pocketbook.
Your amazing
Similar in hearing care as well when I was still practicing.
Watch the alligator 🐊 eat you up
Same with our pharmacy
Hey doc, you and I agree. I have a long comment condensed down into a short comment echoing your point:
Value based care is antithetical to how CMS reimburses procedures, and therefore how interventional cardiology and orthopedic surgery gain political power within a hospital system. It looks like there are perverse incentives created by the healthcare financial system (I am an outsider, a psychiatrist, and neither a proceduralist nor a hospital administrator).
Psych is a loss leader, closely followed by the other Medicaid services — pediatrics and obstetrics. Hospitals provide these services only if required to do so: top tier services are funded only when handcuffed to low tier services.
It feels like a “medical industrial complex,” and it seems totally insurmountable.
Thanks for reading my vent.
That is a good summary, Ben. Thanks