Walmart wants to grade us

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I think it’s time we invite VPs to manage the patients since they are so wise and all-knowing in the ways of medicine.

It never ceases to amaze how the clowns prance around with big data as a cure-all while psych players board for days and the hospital can’t even reliably stock tongue depressors in my exam rooms.


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I think it’s time we invite VPs to manage the patients since they are so wise and all-knowing in the ways of medicine.

It never ceases to amaze how the clowns prance around with big data as a cure-all while psych players board for days and the hospital can’t even reliably stock tongue depressors in my exam rooms.


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You know what we really need? More administrators to fix the problem.
 
Egads! So this is WalMart in its role as an employer trying to "protect their employees from bad doctors"...

Yeah.
WalMart is well-known for their dedication to their employees.
Yeah. What I read from that was, "were going to force financially hindered individuals into seeing doctors that we approve of by offering to pay 100% of cost because these doctors won't regularly do test and focus on low cost of care and supplement with high patient volume." All in the name of efficiency

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I can see it now. 47 exam rooms with only 3 staffed, self-exam rooms like the machine from "Idiocracy", express rooms for those with 5 co-morbidites or less. If it's like it was when I worked there many years ago, CME will all be computer based. Grumpy greeter: "Welcome to Wal-Clinic, get your script and get the hell out...."
 
I think the most irritating part is the "ending physician entitlement" crap. Marketing genius really. Look like the hero by blaming physicians for healthcare costs while exploiting their own employees in order to drive down their cost to provide benefits to their employees.

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I can see it now. 47 exam rooms with only 3 staffed, self-exam rooms like the machine from "Idiocracy", express rooms for those with 5 co-morbidites or less. If it's like it was when I worked there many years ago, CME will all be computer based. Grumpy greeter: "Welcome to Wal-Clinic, get your script and get the hell out...."
Medicine has been largely corporatized. Much insurance is funded by corporations through employee health plans. Those corporations want cheap insurance to buy to save money, so the shareholders can have more money. The insurance can only be cheap if their patients get "cheap" and "efficient" health care. Patients can only get cheap healthcare if they are seen by doctors who only provide "cheap" healthcare and order the fewest tests and treatments. This is how the Walmarts of the world, see the issue. This is their way to exclude physicians who run up medical bills on their patients, from their networks. Whether they are the best, worst or average medical doctors or not, is irrelevant to them. This has been going on for decades now, already. This is 100% about saving/making money for shareholders, not about "quality" or ending "physician entitlement" or any of that marketing nonsense. It's no more complicated than that.
 
This from the company that literally locks its employees into Sam Clubs after hours.

Workers Assail Night Lock-Ins By Wal-Mart

I do NOT shop at Walmart, and never will.

Not to mention that they expect their employees to work for free. They've been sued dozens of times in several different states (successfully) for millions of dollars in unpaid wages.
 
Medicine has been largely corporatized. Much insurance is funded by corporations through employee health plans. Those corporations want cheap insurance to buy to save money, so the shareholders can have more money. The insurance can only be cheap if their patients get "cheap" and "efficient" health care. Patients can only get cheap healthcare if they are seen by doctors who only provide "cheap" healthcare and order the fewest tests and treatments. This is how the Walmarts of the world, see the issue. This is their way to exclude physicians who run up medical bills on their patients, from their networks. Whether they are the best, worst or average medical doctors or not, is irrelevant to them. This has been going on for decades now, already. This is 100% about saving/making money for shareholders, not about "quality" or ending "physician entitlement" or any of that marketing nonsense. It's no more complicated than that.

It's capitation. Basically, a Walmart HMO. I hate insurance companies, but how much worse will it be when it's a company who has complete implicit bias to lower costs for its employees AND owns the doctors (which will undoubtedly easily controllable NP's who are cheaper and only know how to follow their "quality" algorithms")

I find it hugely ironic Walmart touting how they go above and beyond for its employees. I frequently see Walmart employees in my shop--they can't afford basic antibiotics, BP meds, spinal referrals for their bad backs for working for Walmart. medicine needs this like we need another CMS sepsis measure
 
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