Over-Prescribing, Under-Prescribing, And The Fee-For-Service Catch 22

The federal government has granted itself potent new authority to expel physicians from Medicare if they are found to prescribe drugs in abusive ways, following through on a proposal issued earlier this year.

Excellent news! Now fee-for-service doctors can exist like Heller-esque protgaonists, trapped by the possibility of losing funding for over-prescribing, or losing funding by under-prescribing.

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Yep, You Can Yelp Us

Some of the country’s best doctors have the worst patient satisfaction scores.

Want to know why?

Part of training to become a fee-for-service doctor is learning how to suppress your feelings. You get good at being who people want you to be, not who they need you to be.

You’re slowly transformed into something you didn’t foresee–a Stepford doctor out to please everyone with a sycophantic grin and forcibly appealing demeanor, hoping that your patient satisfaction survey will be favorable, no matter the cost.

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