Chronic disease management
Fam Pract Manag. 2006 Feb;13(2):16-22.
I would like to thank Dr. Roger Shenkel for his insightful input in “1-800-Chronic Disease Management” [November/December 2005].
Even when insurance companies employ disease-specific, outside case management, physicians end up footing part of the bill. These third-party “services” require physicians and their staff to spend significant nonreimbursable time completing paperwork and responding to various issues. While I am busily switching patients from one angiotensin receptor blocker to another, I do not get the sense that quality of care is improving. Because of the extra work that patients with chronic conditions require and the lack of reimbursement for this work, many primary care physicians are screening these patients out of their practices. It is much more profitable to see two level-III patients in 30 minutes than one level-IV patient in 35 to 45 minutes.
In the name of case management, we are chasing doctors away from patients with chronic conditions, and we are avoiding funding services that could really help patients as well as save money. Meanwhile, we are placating the insurance oversight commissions by providing something we call case management. It's time for a change.
WE WANT TO HEAR FROM YOU
Send your comments to email@example.com. Submission of a letter will be construed as granting AAFP permission to publish the letter in any of its publications in any form. We cannot respond to all letters we receive. Those chosen for publication will be edited for length and style.
Copyright © 2006 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact firstname.lastname@example.org for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions
More in FPM
Related Topic Searches
MOST RECENT ISSUE
Access the latest issue
of FPM journal