Link Round Up

Link Round Up

Welcome to the first installment of the Frontiers’ Link Round Up. Below you will find links to articles that are relevant to the work we’re doing.

Robert Pearl, MD on “The Duality Of Being A Doctor”

“Filling out claims forms and managing thousands of billing codes are frustrating and exhausting tasks. No wonder multiple surveys over the past two decades show a progressive decline in doctor satisfaction among those in community practices.”

Read the rest of Robert Pearl’s blog post on Forbes, where he discusses both the “fulfilling personal side and the frustrating impersonal side” of being a doctor. Many of his points touch on what the Alternative Payment Method pilot here in Oregon is trying to change.

The Arkansas Payment Reform Laboratory

“The Arkansas transformation model, known as the Arkansas Payment Improvement Initiative (APII), aims to create payment incentives that motivate and reward patient centered management of outcomes and reductions in total cost of care.”

A team in Arkansas is also blogging about their experience evaluating a payment reform effort locally. Check out their first featured post on Health Affairs Blog, and keep an eye out for an upcoming featured post from our team!

Suneel Dhand, MD on “Why Doctors Shouldn’t Bill for Time”

“At a time of tumultuous change in health care, doctors mustn’t go down this route. We should keep our respect as a noble profession and do everything possible to retain the special bond between doctor and patient.”

In this post on the Kevin MD blog, Dr. Dhand discusses the idea of physicians billing for time as lawyers do.

The New York Times Discusses Salaried Hospital Physicians

“…some hospital systems are beginning to change their criteria. They are providing bonuses that reward doctors for delivering high quality and cost effective care, such as high marks from patients or low numbers of patients with asthma who are admitted to the hospital.”

The Times reports on specialists following primary care providers in a movement towards salaried positions. Read the full article here.