Alternative to 3rd party payer system

[abolt18]

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I hope when all is said and done I can get a job in a place like this. Cut out the administration and all the nonsensical waste and just charge people for the service at a set price. Seems like a great idea to me!

http://reason.com/reasontv/2012/11/15/the-obamacare-revolt-oklahoma-doctors-fi

 

[abolt18]

And just to add, the title speaks of Obama care. This article really has little or nothing to do with the ACA.

 

[MedPR]

Except no administration means more work for you.

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[abolt18]

From what I can tell the lack of administration is 1 more cost effective, and 2 more efficient (as the guys says he can do twice as many surgeries in a day because he's not waiting around because of the administration's poor planning). I'd take doing a little extra work for twice the income.

Also you don't have to pay full time employees to do nothing but bug the insurance companies to get paid for procedures.

 

[MedPR]

From what I can tell the lack of administration is 1 more cost effective, and 2 more efficient (as the guys says he can do twice as many surgeries in a day because he's not waiting around because of the administration's poor planning). I'd take doing a little extra work for twice the income.

Also you don't have to pay full time employees to do nothing but bug the insurance companies to get paid for procedures.

Just based on shadowing and working in a physician's office I know that I would not want to do the doctoring in addition to all the administrative work. It isn't "a little extra work". Those non-clinicians do a lot more than "bug the insurance companies" and they deserve more respect and appreciation than what you are giving them.

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[abolt18]

Just based on shadowing and working in a physician's office I know that I would not want to do the doctoring in addition to all the administrative work. It isn't "a little extra work". Those non-clinicians do a lot more than "bug the insurance companies" and they deserve more respect and appreciation than what you are giving them.

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I'm referring more specifically to the administrators like those mentioned in the article, like those 18 whose average salaries are over 400K and the surgeon himself states that he gets half as many surgeries done in that hospital due largely to inefficient planning/organization. "Sigmon says he can perform twice as many surgeries in a single day at the Surgery Center than at Integris. At the latter institution, he spends half his time waiting around while the staff struggles with the basic logistics of moving patients from preoperative care into the operating room. When the patient arrives, Sigmon will sometimes wait even longer for the equipment he needs."

"For example, both human resources and building maintenance are the responsibility of the head nurse" So yes the non-clinicians are essential, but there are people like my mother-in-law whose entire full time job is to bill the insurance for procedures. She doesn't even bill the patients, just deals with insurance stuff all day. Both practices I've shadowed at had several employees dedicated to processing insurance stuff and a couple of people for billing patients. This role would not be needed in a place like this surgical center as they deal strictly with the patients. This cuts down costs both for the surgical center and for the patients. Win-win situation in my opinion.

 

[abolt18]

Also there is no indication anywhere that the docs are playing any role in the administrative roles. Just that they are distributed to other people like the head nurses.

 

[Drrrrrr. Celty]

[YOUTUBE]http://www.youtube.com/watch?v=3Y3jE3B8HsE[/YOUTUBE]

Edit, missed the word "Payer" lol.

 

[toxicwombat]

Interesting!

 

[abolt18]

Haha Serenade thank you for that!

 

[Drrrrrr. Celty]

Haha Serenade thank you for that!

I like that video, it's one of the changes I wish would happen to our system. Along with a general switch to a parliamentary system.

 

[Ravizzle]

Along with a general switch to a parliamentary system.

+1

Sent from my Galaxy S2

 

[felix2929]

A parliamentary system? I think not. The good thing about our system (though this power has been abused for the last 12 years) is that we aren't electing a king, we elect someone to be an executive of one branch that is equally checked by two other branches of govt. In the parliamentary system the majority party rules all. Also we have state representatives not single party representatives which allows for more freedom from the 2 party system which is what the AV is striving for.

 

[Drrrrrr. Celty]

A parliamentary system? I think not. The good thing about our system (though this power has been abused for the last 12 years) is that we aren't electing a king, we elect someone to be an executive of one branch that is equally checked by two other branches of govt. In the parliamentary system the majority party rules all. Also we have state representatives not single party representatives which allows for more freedom from the 2 party system which is what the AV is striving for.

No presidential democracy other than the US lasted very long. Regardless a parliamentary system allows power to be switched quicker, groups to change, and overall seems like a more mature system.

Anyway, this threads about payer systems, not government.

 

[HalfListic]

Except no administration means more work for you.

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Not no administration, less administration. And it sounds like its small enough to be efficient (and that nurses are actually picking up the slack, not surgeons).

ACA means much more paper work...so Id say this would at least be comparable if not better as far as efficiency of surgeon schedules.




Thanks for sharing this Abolt...I liked it.
I had a similar experience in Medicine, with a program called Volunteers in medicine, which was basically the same thing for for medical needs rather than surgical. Great programs!




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