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[By staff reporters] http://www.CertifiedMedicalPlanner.org
The Three Basic Duties
A cash-based medical practice or direct care provider has these basic duties:
- * to comply with statutory duties such as the drug laws
- * to obtain proper consent for medical care
- * to render care that is not substantially inferior to that offered by like providers
A breach of any of these duties that causes harm to a patient can result in a malpractice suit. While the first two duties are important, it is the duty to render good quality medical care that is the basis for most malpractice lawsuits. The breach of this duty is most likely to result in a serious patient injury. The prevention of such negligent injuries is the responsibility of the individual provider, but it also basic to the institution’s quality control program.
From the individual provider’s point of view, quality control involves continuing education, attention to detail, and retrospective review of the course of the provider’s patients. The process is only loosely structured and is usually poorly documented. This lack of formal structure is less important for the individual provider because the provider’s actions are judged only within the context of the injured patient in question (although previous actions may be used to negate claims of accidental injury).
Assessment
And so, the legal questions is whether the care rendered the injured patient was negligent. It is not relevant to the case if the provider carried out an effective personal quality control program.
Conclusion
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OUR OTHER PRINT BOOKS AND RELATED INFORMATION SOURCES:
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Filed under: CMP Program, Ethics, Professional Liability, Risk Management | Tagged: CMP Program |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
NOW – Most Health Plans Provide Price Estimator Tools
America’s Health Insurance Plans (AHIP) recently conducted a survey on health plan price transparency tools. Here are some key findings from the report:
• Almost 3 in 4 health plans surveyed provide price estimator tools to members.
• 39% of these plans launched their price estimator tools more than 3 years ago.
• 4 in 5 of these plans choose which services to provide estimates for based on common procedures.
• Most (71%) health plans provide estimates for physician services.
• 58% of plans included cost estimates for prescription drugs.
• 2 in 3 responding plans shared provider performance data with their enrollees.
Source: American Journal of Managed Care, February 16, 2016
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Direct primary care
An evidence-based dialogue is needed.
http://www.kevinmd.com/blog/2016/11/direct-primary-care-evidence-based-dialogue-needed.html
Ang
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Direct Care?
A new kind of doctor’s office charges a monthly fee and doesn’t take insurance — and it could be the future of medicine
http://www.msn.com/en-us/money/healthcare/a-new-kind-of-doctors-office-charges-a-monthly-fee-and-doesnt-take-insurance-%e2%80%94-and-it-could-be-the-future-of-medicine/ar-BByo4bI?li=BBnbfcN
Mandy
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Yes, Patients Want to Discuss Pricing, Payment Options Before Treatment
More than three-quarters of healthcare consumers say it’s important or very important that they know their costs before treatment, and 53% want to discuss financing options before care. But the vast majority of healthcare providers are not satisfying these demands, according to the HealthFirst Financial Patient Survey, a survey conducted by ORC International and commissioned by patient financing company HealthFirst Financial.
Only 18% of the 1,011 US adults surveyed across the country said that any of their healthcare providers had spoken to them, at any time, about patient financing options in the past 2 years.
Patients are especially interested in affordable payment programs, with 57 percent saying it’s important or very important that their healthcare provider offer ways to extend payments over time with no interest charged. Yet, just 8% received zero or low-interest financing from a healthcare provider.
Source: Jeff Lagasse, Healthcare Finance News [9/15/17] via PMNews
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CMA ATTACKS
CMS Quietly Launches an Offensive Against Direct Primary Care.
http://thehealthcareblog.com/blog/2018/02/19/cms-quietly-launches-an-offensive-against-direct-primary-care/
Dr. David Marcinko MBA
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Direct primary-care agreements
A bill that would allow physicians, chiropractors and group practices to sign “direct primary-care” agreements with patients without running amok of Florida’s insurance laws is on its way to Gov. Rick Scott.
The Senate just voted unanimously to approve the measure (HB 37), sponsored by Rep. Danny Burgess, R-Zephyrhills, and Sen. Tom Lee, R-Thonotosassa. The House passed the bill in January by a 97-10 vote.
http://www.fox35orlando.com/news/politics/direct-primary-care-bill-goes-to-gov-scott
Under direct primary-care agreements, doctors charge patients monthly fees in advance of providing services, with patients then able to access services at no extra charge. The bill does not spell out how much can be charged or what services need to be included in the agreements.
Hope R. Hetico RN MHA
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