Low-Value Healthcare Remains Even Without Fee-for-Service Incentives

An Editorial in the Journal of the American Medical Association Makes the Case that Low-Value Care Remains a Problem Even in the Absence of Fee-for-Service.

I Always Assumed if You Fixed Fee-for-Service, You Would Fix the Perverse Incentive to Do Too Much and Therefore, Fix Healthcare.

I Might Be Wrong.

Examples:
1) Canada Does NOT Have Fee-for-Service Healthcare and Still 30% of Their Seniors Receive at Least 1 of 10 Low Value Services.

2) Maryland Has Global Budgets for Hospitals--Not Fee-for-Service--And There Are Still High Rates of 19 Low Value Services.

3) The Veterans Administration Does NOT Have Fee-for-Service and 5%-21% of Vets Still Receive Low Value Testing.

The Authors Also Point Out That the TYPE of Low Value Service is Very Different from One Hospital or Physician Group to Another... Essentially, Unique 'Micro-Environments' of Waste.

The Authors Then Spell Out a 'Bottom-Up' Rather Than a 'Top-Down' Solution to Low Value Healthcare.

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[sanadbenali]

That variation speaks to research quality

[thSun]

They have done studies you know. 30% of the time, it works everytime.

[bryanh]

As for the EMR problem we need a federal level repository that allows providers/billers to directly send data to the CMS cloud (although we currently have something in place it could greatly be improved on). Then have CMS create a Cloud API (Cloud Application Programming Interface) that allows the EMRs to focus on the UX (user experience) aspect rather than having to worry about the complexities involving the storing of medical information. This would also give providers and health systems the ability to transfer to different EMRs that best fit their needs.

[_Ed_DPL]

Interesting comment on EMR @Dr Bricker.
'EMR' does seem to often be dubbed as the 'fix all' solution in managed care.