Basic Health Access

Another micromanagement has demonstrated costs of micromanagement as much as what might be saved. This is of course what CBO indicated a decade ago about such interventions. This time the CMS Comprehensive Primary Care Initiative failed to demonstrate much - in the practices that survive in the US.  "The initiative slowed growth in emergency department visits by 2 percent in CPC practices, relative to comparison practices. However, it did not reduce Medicare spending enough to cover care management fees or appreciably improve physician or beneficiary experience or practice performance on a limited set of Medicare claims-based quality measures." Higher costs without changes in outcomes - this is not value-based. Once again it appears that the personnel used up in micromanagements of costs and of quality could have better been used to address care delivery. Oregon PCMH Saved 240 million but spent over 250 million Words like comprehensive and continuity...

Calculations reveal just how much micromanagement is costing primary care practices where they are most needed. The costs involve other specialties that are also basic, smaller, less organized, and most needed. With reflection, the epidemic of measurement has had even greater spread. Micromanagement costs and consequences devastate education in these same lowest concentration counties. Primary Care in 2621 Lowest Workforce Concentration Counties  The calculations reveal at least 8 billion dollars less remaining to invest in primary care in 2621 counties lowest in concentrations of primary care, health care workforce, and physicians. The same financial designs that impact primary care also impact nurse practitioners, physician assistants, and physicians. Women's health and basic surgical services are impacted. Measurement focus in health care has attempted to improve costs and quality But costs have been increased by digitalization, innovation, certification, and regulatio...