The concept of value-based health care might sound good. After all, who does not appreciate value?
But the devil is in the details. Value-based care means that some type of corporate entity is controlling or powerfully influencing the medical care that a physician provides for his or her patient. It is a way to control costs. Often (but not always) the corporate entity is a structure called an Accountable Care Organization.
But what if the corporate entity has a financial incentive to withhold care that is needed or that is beneficial? And what if the patient never learns there are better alternatives? Those things will inevitably happen.
Yesterday, I learned that Senator Thom Tillis is promoting— and the North Carolina Medical Society is cheering on– precisely this kind of administrative structure designed to put shackles around physicians in their efforts to help patients. This is organized medicine at work.
How is he worthless? Let us count the ways.