Value-based care advice not enough
In response to “Fighting Back: Top tips for physicians to take on Value-based care” (August 10, 2017), I saw your article in Medical Economics and agree, we have to fight back. “value care” is a joke. Instead of putting the burden for cost savings on the lowest paid docs in the system (the PCPs), why are we not lowering what we reimburse procedures that drive up cost? I know we are the gatekeepers, but a dermatologist should not be making twice that of a PCP for half the effort.
The question is: How do we translate this into actual reform with the decision makers? Specialists are overpaid because we reimburse procedures too highly—mainly a consequence of the AMA controlling RVUs. How do we attack that?
Not sure if I can help other than writing letters to the editors of the local newspapers.
James Kurz, MD
Chapel Hill, North Carolina
Time to disrupt telehealth ‘middle men’
The recent article on telehealth shows that it is time for another disruption. Telehealth corporations take 50% of the pay in return for scheduling services and liability insurance coverage.