Hi Gary, What it represents is the distrust in doctors. I don't think patients who are hurt give up, I just think that there are probably enough situations where c-ray is sufficient and their diagnostic tool is too coarse to get to mri fast.
For instance the flow chart might start with is there Knee pain? Better make sure it isn't broken, get an x-ray. Instead of can the doctor isolate the source and cause and then let the doctor choose a diagnostic tool.
That said, there must be enough situations where we stop at X-ray to justify. Thus the cost savings - but definitely not a pain savings. My knee was as big as a grapefruit for several weeks longer than it needed to be.
The first situation you describe seems to be a money loser for the insurance company, unless they include in the calculation that some members will avoid pursuing diagnosis and treatment because of the delay. What's the research about that factor?
Should this script actually be saying the insurance companies should NOT force...? Thanks.
" If the doctor/patient decide the treatment and it is medically appropriate, the insurance company should force different treatments/tests/procedures to save money or make money for themselves via rebates and kickbacks."
Hi Gary, What it represents is the distrust in doctors. I don't think patients who are hurt give up, I just think that there are probably enough situations where c-ray is sufficient and their diagnostic tool is too coarse to get to mri fast.
For instance the flow chart might start with is there Knee pain? Better make sure it isn't broken, get an x-ray. Instead of can the doctor isolate the source and cause and then let the doctor choose a diagnostic tool.
That said, there must be enough situations where we stop at X-ray to justify. Thus the cost savings - but definitely not a pain savings. My knee was as big as a grapefruit for several weeks longer than it needed to be.
Thanks Connie - Fixed and Updated!! :)
Alan,
The first situation you describe seems to be a money loser for the insurance company, unless they include in the calculation that some members will avoid pursuing diagnosis and treatment because of the delay. What's the research about that factor?
Should this script actually be saying the insurance companies should NOT force...? Thanks.
" If the doctor/patient decide the treatment and it is medically appropriate, the insurance company should force different treatments/tests/procedures to save money or make money for themselves via rebates and kickbacks."
Thanks Connie - Fixed - I appreciate the quick identification. Apparently I think faster than I type.