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Re: physician owned medical insurance companiesFrom: Arthurfree@aol.comTue Jul 2 23:45:02 1996
>At 03:47 PM 6/30/96 -0500, Rosebudz@aol.com wrote: >>RE: physician owned medical insurance companies >> >>I'm not an MD, but I think there is a potential conflict of interest in >>providing health care to patients insured by a company in which you have >>ownership interest. And I'm sure there would be some temptation for some >>people to do what insurers are doing now - restrict health care access in >>favor of the bottom line. >> The provision of medical services by anyone who is payed other than straight salary *always* has inherent conflict of interest. If one receives better pay if less is done for the patient (capitation) there is one type of adverse motivation. If one is payed better for invasive procedures than "cognitive" services, or if one is payed better by having the patient seen more often (current fee for service) this is a different type of adverse motivator. (the second is probably more insidious because our patients often sense that more care is better care, and this is certainly not always the case) Perhaps I shouldn't even excuse the salaried provider as the motivation there can be to monkey with the job description to reduce work load and responsibility while maximizing salary! "If you want to change an aspect of medical care overnight, change how it is reimbursed. True medical advances take much longer to disseminate." Arthur Freeland Centerville, Iowa
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