Independent Practice and Managed Care employment: Journeys with uncertain destiny
There are many differences between practicing medicine as an independent physician and practicing as a member of a managed care system. I have done both in my career, and I have insights into why many doctors prefer to remain independent, and why many patients prefer to see a doctor who operates outside of the managed care system.
In managed care, a physician is encouraged to focus on taking care of the patient, while administrators take care of the fiscal and administrative side of things. It’s a healthcare delivery system designed to manage cost and assure quality. By contracting with various types of MCOs to deliver care to Medicaid beneficiaries, states can reduce program costs and better manage health care utilization.
Physicians in independent practice, on the other hand, deliver care without the influence of other entities and organizations. They do their own billing, clinical decision-making and marketing, and they develop their own protocols for treating patients.
Patients who seek care from independent doctors can choose whatever provider they want, but in the managed-care system, patients can only visit physicians or providers within their own network. Physicians must stick to a set of standards created by the designees of the organization, whether or not they agree with them.
One of the advantages of working within the managed care system is that physicians don’t worry about business fluctuations or matters of liability. But a disadvantage is that not every decision related to patient care rests with the doctor.
Physicians don’t experience the same doctor-patient relationship because many patients have been assigned to them by other people and there is a constant pressure to shorten face-to-face visits in order to fit in more patients.
The Challenges in Remaining Independent
Independent doctors are under constant pressure from government regulations — state regulations and the Affordable Care Act —and these physicians are already struggling financially. There are 15 other distinct challenges that make independent practice difficult These include:
· Collecting Co-pays
· Showing meaningful use of Electronic Medical Records
Keeping pace with technology
Being reimbursed by payers
Adapting to the fee-for-performance payment model
Dealing with rising operational costs
Maintaining HIPAA compliance
Coping with decreasing Revenue
Value based reimbursement
Under the fee-for-service model, practices can be penalized based on negative feedback from patients. This is just one of many challenges that independent doctors face. The government passes policies that favor larger health networks, because monitoring thousands of independent clinics that each do things their own way consumes more time and resources.
This is why a growing number of independent practices are closing their doors. Physicians simply find it too difficult to do it alone and are more and more frequently joining the larger health networks.
Many Patients Prefer an Independent Physician
We are a consumer-driven society, and many people feel they should be able to shop for healthcare with the same freedom as when buying a car or a house. Every doctor has heard patients request a certain treatment based on something they saw in a TV advertisement.
If a patient presents with knee pain, for example, and states that they want an MRI like the one they saw in an infomercial, the independent physician will likely order the test. A managed care doctor might have to skip it because it’s not covered by the patient’s insurance plan. Today’s patients have empowered consumers, and they might not like that.
This is one reason why patients have a better experience seeing an independent physician.
The survival of the independent physician practice is crucial for the healthcare industry, especially for the underserved and in underprivileged areas. Individual choice is important not only for the community but also for the quality of the care that each individual patient deserves. Healthcare should be in the hands of individual patients and individual physicians. Teamwork, interoperability, and centralization of healthcare is a necessity for efficient healthcare delivery across the nation and the world.
An Independent Physician Practice Model Begins with Embracing Technology
Independent doctors need to embrace new technologies, and combine them with hands-on help from experts to improve the point-of-care service model. Many doctors mistrust the software products that are supposed to help them manage their practices. Maybe it’s because physicians haven’t been the ones to build these products. Most current software solutions or EMR -based systems are not able to address the real challenges that physicians are facing today.
Instead of rejecting these technologies, physicians should get involved, and make them better.
We cannot allow independent practices to close their doors because physicians by nature want to be independent. Independent doctors are better able to form real bonds with patients. Underserved areas need independent physician practices.
The corporate model of healthcare offers many advantages, but in the end, it will never serve all patients’ needs.
It will take a new system of healthcare, with the individual doctor and patient at the center to provide care cost-effectively for patients all over the world. And it will take a new, hands-on system of practice management and an improved point-of-care model to enable this.
It’s difficult for physicians to remain independent, but it’s better for our healthcare system if many doctors can resist the pull into managed care. Consumers need choice, it’s what keeps our economy — and patients — healthy.