"synopsis" may belong to another edition of this title.
-- Dr. Alain Enthoven, Marriner S. Eccles Professor of Public and Private Management, Stanford University
From Strong Medicine
I asked a doctor who had spent years in private fee-for-service practice and then joined a large medical group where he was entirely salaried (and therefore was no longer paid based on the volume of procedures or units of care he delivered) what he saw as the major difference between the two practice modes.
"I don't have to troll for warts anymore," he said.
"Troll for warts? What's that?"
"That's what my group called maximizing revenue from patients. In order to bring our billings and profits up, we looked at each patient to see what else we could do for them. If we saw a wart, we'd say -- 'Just to be on the safe side, let's take that wart off.' The patients liked the attention, and the clinic partners liked the revenue.
"I found it demeaning. I'm glad that I don't have to do it anymore." It doesn't take an economic genius to see why "trolling for warts" makes basic economic sense in the context of fee-for-service reimbursement. The truth is that we don't pay our fee-for-service doctors to provide patients with overall improved health. We pay them to do specific medical procedures.
"In Strong Medicine the author shares his real-life learning curve about what works in reforming the health care system. George Halvorson's ideas work. His health plan has 600,000 members in one of this country's most competitive markets."
-- Dave Durenberger, United States senator from Minnesota
"Finally, here is a book that clearly communicates, in explanation example, the deficiencies in the current health care delivery system. should be required reading as it clearly defines the multiple problems and presents workable solutions. Even with my long history of involvement health care from the employer's side, were many things that I learned in reading this book."
"About this title" may belong to another edition of this title.
Shipping:
US$ 4.25
Within U.S.A.
Book Description Hardcover. Condition: new. New Copy. Customer Service Guaranteed. Seller Inventory # think0679429808
Book Description Hardcover. Condition: New. Brand New!. Seller Inventory # VIB0679429808
Book Description Hardcover. Condition: New. Seller Inventory # Abebooks134802
Book Description Condition: New. New. In shrink wrap. Looks like an interesting title! 0.97. Seller Inventory # Q-0679429808