How Coordinated Care Can Ground Frequent Fliers
A number of these patients essentially have been "fired" by their primary care doctors for a host of reasons, such as missing too many appointments in succession, says R. Corey Waller, MD, a specialist in addiction and emergency medicine and director of the Spectrum Health Medical Group Center for Integrative Medicine, in Grand Rapids, Mich.
Waller spoke to me for an article in May's HealthLeaders Media magazine that touched on the firing issue. Spectrum has targeted frequent fliers by steering them toward less expensive coordinated care.
When Waller uses the term "fired," he is referring to patients who are no longer welcome by doctors to have business with them. There has been much debate about "firing" patients, such as in pediatric cases when parents refuse vaccinations. It's a sensitive issue.
Medical associations say that should only occur in certain situations, when patients are abusive, or decline to pay bills, or yes, even when they continually miss appointments. In any event, patients should be given proper notification.
- CEO Exchange: Preparing for Population Health
- EHR Systems 'Immature, Costly,' AMA Says
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Better HCAHPS Scores Protect Revenue
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- 'Early Offer' Malpractice Programs May Spur Reform
- Interstate Medical Licensure Effort Advances
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Two NY hospitals to offer free hip and knee replacement surgeries for qualifying patients in December