The simple answer is no and they never have been. This has been a justification for both consolidation and price increases by hospitals and physicians. Frankly, it is bullshit. This Health Affairs study adds to the evidence, looking at a large commercial claims and outcomes database to examine any relationship between higher prices for primary care physican services and better outcomes or quality. The highest priced doctors were paid more than twice as much for the same service as the lowest paid ones and total annual costs for their patients were $1000 dollars higher than that for patients of the lowest cost doctors, with the difference not being explained by utilization but by the higher unit prices. Looking at ambulatory care-sensitive hospital admissions and readmission rates, there was no difference between the two groups of doctors. Pay more, get the same. It is inexcusable, and largely reflects the market power of consolidated physican groups and large health systems. A ton of health care spending could be avoided by reducing what is paid to these high cost physicians. (HA Study)
✅ Subscribe via Email
About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
Healthy Skeptic Podcast
This is an outstanding report on total global drug spending and trends, with projections out to 2025. It helps you understand this important area of health care, which does much...
June 1, 2021
MedPAC 2019 Report to Congress
June 18, 2019
Mental health company Headway makes, well, headway, by raising an impressive $125 million round of new capital. The company connects patients with mental health providers and facilitates providers working with...
October 11, 2023
Two health care firms owned by private equity firms are merging in a transaction supposedly valued at $3 billion. HealthComp administers self-funded plans for employers and other groups and Virgin...
September 27, 2023
NextGen, an electronic medical records firm, is being put out of its public company misery, as a PE firm will pay $1.6 billion for the one-time high-flier.
September 7, 2023
Access ACO Care Management Chronic Disease Comparative Effectiveness Consumer Directed Health Consumers Devices Disease Management Drugs EHRs Elder Care End-of-Life Care FDA Financings Genomics Government Health Care Costs Health Care Quality Health Care Reform Health Insurance Health Insurance Exchange HIT HomeCare Hospital Hospital Readmissions Legislation M&A Malpractice Meaningful Use Medicaid Medical Care Medicare Medicare Advantage Mobile Pay For Performance Pharmaceutical Physicians Providers Regulation Repealing Reform Telehealth Telemedicine Wellness and Prevention Workplace