Lee A. Resnick, MD, FAAFP As I write this, the annual convention of the Urgent Care Association (UCA) is in full swing in Las Vegas. This year’s assembly is the largest gathering of urgent care professionals in the world … ever. With well over 700 attendees, the energy is palpable. The excitement surrounding the discipline and the industry has never been greater as more and more physicians, entrepreneurs, health systems and others clamor for a …
Read MoreReinventing RUC
Lee A. Resnick, MD, FAAFP In my last column, I explained how physician reimbursement is determined by a relatively obscure and highly politicized committee shockingly biased by a specialist representation. The so called “RUC” (Relative Value Scale Update Committee) has created a pay formula that heavily favors proceduralists at the undeniable expense of the primary care physician. This biased system of reimbursement has not only created an unbalanced pay scale amongst physicians, but has equally …
Read MoreThe Ruckus About ‘RUC’
Lee A. Resnick, MD, FAAFP Perhaps you are unaware about the secretive, biased way that physician reimbursement is determined in this country. Perhaps you would be surprised to learn that the committee tasked with these determinations is composed of only 2 primary care physicians … out of 29 members! Perhaps you didn’t know that their recommendations are unregulated and largely given a rubber stamp by the Centers for Medicare & Medicaid Services (CMS). Perhaps you …
Read More‘First, Do No Harm’ But Don’t Be a Harmful Do-Nothing!
As scientists, we are trained to question through research – to pose hypotheses and test for proof. Science, however, is notoriously flawed and imperfect, and has left a trail of discarded practice standards refuted through additional study or missed statistical error. Many a medical proverb has fallen out of favor this way – but none has withstood the test of time longer than “First, do no harm.” With an almost religious favor, physicians have embraced …
Read MoreReforming Patient Expectations
In my last column, I addressed the contribution of unrealistic patient expectations to unsustainable healthcare costs. I postulated that the competing societal goals of preserving freedom of choice while providing healthcare for all will produce a futile tug-of-war. I further warned that leaving the solutions to politicians and government administrators will inevitably lead to myopic reforms that threaten the doctor-patient relationship and fail to consistently incentivize good care. In this month’s column, I’d like to …
Read MoreReforming Healthcare Starts With Reforming Patient Expectations
Back in 2008, while the Obama administration was first evaluating healthcare reform, Peter Orszag, then the director of the Congressional Budget Office, estimated that 5% of the nation’s gross domestic product, or $700 billion per year, goes to medical tests and procedures that have no proven positive impact on outcomes. Unaccounted for in this estimate are the billions more spent managing the often lifelong complications inherited from inappropriate tests and unproven procedures. MRIs that identify …
Read MoreWho’s Steering This Ship?
As a young discipline and industry, urgent care relies heavily on its organizational leaders to advance the political, academic, and developmental agendas that are in the best interest of their constituents. These leaders represent the face and voice of their members on the national stage. Needless to say, we cannot become dependent on the work and vision of a few to dictate the direction and activity of the whole. Member engagement and participation are paramount …
Read MoreWho’s Steering This Ship?
Lee A. Resnick, MD, FAAFP As a young discipline and industry, urgent care relies heavily on its organizational leaders to advance the political, academic, and developmental agendas that are in the best interest of their constituents. These leaders represent the face and voice of their members on the national stage. Needless to say, we cannot become dependent on the work and vision of a few to dictate the direction and activity of the whole. Member …
Read MorePrimary Care Physicians…the New Middle Class?
Lee A. Resnick, MD, FAAFP With all the renewed talk of tax hikes on the “rich” to pay for everything from healthcare to job creation, I can’t help but see the with anger over how we define rich in this country. The top tax rate targets incomes of $150,000-$200,000. This despite a rapidly growing “ultrarich” class that consists of earners between $1 million and untold billions. Now millionaires and billionaires pay less as a percentage …
Read MoreTo Board or Not to Board…That Is the Question!
Lee A. Resnick, MD, FAAFP With the announcement of the Board of Certification in Urgent Care Medicine (BCUCM), an American Board of Physician Specialists (ABPS) member board, the urgent care community is abuzz about its meaning, value, and importance for specialty recognition of the discipline and professional identity for its physician practitioners. Some believe the American Board of Medical Specialties (ABMS) is the only body with the authority to anoint specialty certification and provide board …
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