NPA Names 'Top 5' Cost Drivers in Primary Care

A National Physicians Alliance project has compiled a list of potentially unnecessary cost drivers for primary care that -- if limited -- could improve cost and efficiency, it says.

1 comments on "NPA Names 'Top 5' Cost Drivers in Primary Care"
Arun (5/24/2011 at 11:41 AM)

NPA 's list is very encouraging for the patients, and third party payers because primarily it makes sense and leads to a major paradigm shift; something the current ACO concept seems to be promoting. What concerns me is the lack of information on the studies showing that reduced diagnostic testing and use of antibiotics actually has no impact on the quality of care patients are conditioned to expect from our physicians. There are individualized studies but combining their outcomes and forming a new practice protocol and getting recommended by the authoritative bodies is missing. Another aspect lacking in this approach is there is no safe harbor for a practitioner if he or she chooses to change the practice protocol and adopt these five Cost Driver reduction suggestions. There has to be strong correlation properly established between the practice without unnecessary testing etc., and prognosis indicating absence of those tests or drugs have actually benefited the patients. After that it has to be legally adopted something like making it a part of " Meeting Medical Necessity" gate-keeping. This will absolve a practitioner from any unfavorable outcomes unrelated to their actions of not conducting certain testing or using drugs and ward off the ever vigilant medical liability chasers; the very reason often given by most physicians for adopting the defensive medicine. The Top 5 Cost drivers are known to the Cost Accountants and Analyst of all payers and medical wisdom is without doubt present but without the fundamental changes in the Medical Mal Practice doctrine, laws and regulations it will be a hard sale to all practitioners.


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