tag:blogger.com,1999:blog-8489363879633129568.post7874139346790753424..comments2023-11-13T11:54:56.769-08:00Comments on DePaolo's World: "Trends" - Establishes Disconnect in Value of MedicalAnonymoushttp://www.blogger.com/profile/02446191842560064784noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-8489363879633129568.post-88449931337691075222011-07-21T14:07:58.503-07:002011-07-21T14:07:58.503-07:00Thanks for your comments LT.
The disconnect is be...Thanks for your comments LT.<br /><br />The disconnect is between what the total actual value of services are that a physician provides under work comp versus what a fee schedule proposes. The studies that I earlier reviewed all cite the work comp "overhead" as to why physicians object to a "low percentage" (125% or less) RVRBS schedule.<br /><br />In my experience, injured workers are more "passive" in regards to treatment than in the general health context - one of the cost controls that the general health system uses is deductibles to control utilization. This has a very powerful effect because the patient has a stake in the game and thus is more careful with receipt of services.<br /><br />Just my humble opinion!Anonymoushttps://www.blogger.com/profile/02446191842560064784noreply@blogger.comtag:blogger.com,1999:blog-8489363879633129568.post-45438518725664506962011-07-19T16:19:44.100-07:002011-07-19T16:19:44.100-07:00I did not see the initial threads leading to this ...I did not see the initial threads leading to this post. However, I find your last paragraph thought provoking. It is my understanding that in a fee schedule world, the state sets the fees, not the payer. So I'm not sure where you find the disconnect between services provided and Perception of value. You also raise an interesting point-of-view stating that because treatment is "free", the injured worker gives up control of his/her care. Do you think the workers just become passive recipients of treatment? I'm curious to hear further insights into your thoughts behind this last paragrah.LThttps://www.blogger.com/profile/13859250568126583366noreply@blogger.com