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  #11  
Old 09-19-2018, 07:59 AM
juandeoyar juandeoyar is offline
 
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Providers will hire actuaries to analyze risk pools and discuss with insurers the risk scoring for the pattient attribution. More jobs for us.
By the way, there should be a shift in the contracting regulation and the Actuarial standard board should define the professional practices. It might take a few years to be consolidated, and services quality may be at risk in the meantime.
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  #12  
Old 09-19-2018, 01:23 PM
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dgtatum dgtatum is offline
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What would make Value Based Care work moving forward is to increase Primary Care revenue to the point where becoming a Primary Care Physician is as attractive of an occupation as the rest of the medical field salary wise. The problem with healthcare is that that it costs a lot to do something at a hospital, it costs medium amount to do it at an outpatient facility, and it costs a small amount to do it in a physician's office. There are currently a shortage of physicians, about the right amount of outpatient facilities, and a surplus of hospitals. Given that it costs the same to the patient to have something done that they need done (at least up front) they are going to go where they can get it done the fastest. PCP's have waitlists and won't see someone, but hospitals are setting out in the suburbs half full with immediate openings in their ER or Urgent Care so that's where people go.

If you incentivize the PCP's to see more people by making it more lucrative you eventually make the job more appealing and then you have more people being treated at a lower cost place. As far as quality of care goes, I am skeptical of that. I don't think quality gets much better no matter where you go.

Last edited by dgtatum; 09-20-2018 at 08:14 AM..
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Old 10-11-2018, 01:53 PM
kooky cookie kooky cookie is offline
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They go where they can get it done the fastest only when they don't pay the differential cost to have it done in the ER vs a lower cost setting.
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