Reply to UHC CEO Gunned Down in Midtown Manhattan

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]You cannot please people.  Medicine and hospitals have moved toward “customer care” instead of doing what the patient actually needs. While I’m sure lots of people are getting things denied they need, there are many many many people getting $$$$ care, tests, procedures they DONT need.  They pressure doctors, demand things, are insistent and keep making appts- so rather than a doctor risk getting a “bad review” it’s just easier to write an order for what they want to shut them up and make them happy.  And this is ultimately what the hospital CEOs want doctors to do.  And this extends to TONS of waste money spent on futile tests and procedures on the elderly and those in nursing homes that can’t even consent.  We need to reduce the cost of healthcare, but that involves telling people no to things.  Doctors need to be given back that power and we need to take the customer service element out of medicine. This why when a doctor says yes something is needed- it will actually be covered 
 [/quote]

Doctors are often the ones doing things to pad their reimbursements. Until they're salaried, many will have a strong incentive to do unnecessary tests and procedures.[/quote]

Um…most doctors are hospital employed and salaried.  The days of self employed doctors are largely over[/quote]

No, not the specialists that do the procedures. Heck, often the intensivists and ED physicians are outsourced.[/quote]

Yes, most specialists, surgical and otherwise, are hospital employed and salaried. Even the “outsourced” ED physicians (or other) are sent by a locum agency that finds them and the hospital pays them hourly. [/quote]

You must have very limited experience with community hospitals. Heck, many of the smaller systems don't even work that way.[/quote]

I have a lot of experience with many hospitals and I promise you majority of their physicians are hospital employed. Now, every few years salaries and contacts are renegotiated and salary is configured according to their previous years productivity per RVU, but intimately, it is the hospital that decides what to pay the physicians. Very few are independent [/quote]

They're not independent, but outside of the major medical centers, the specialists are not employed by the hospital. They either work for groups that contract with the hospital, or they have to accept unassigned call at the hospital in order to maintain privileges there.[/quote]

And even when doctors are affiliated with the hospital system, their compensation is often driven by the procedures they do.[/quote]

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