We Need to Get Data to the Private Payers!

The AAFP Smartbrief came out with their newsletter and one of their topics ended with this proclamation: “Health care professionals need to do a better job collecting data, and accurate data are needed in a timely fashion to allow private payers to make decisions, experts said.”

This was in reference an article titled Data Analytics Can Drive Change in Health Care: Data analytics is transforming the health care system, but the U.S. has to embrace the change in the US News and World Report.

Once again, it is the healthcare professionals who are at fault for everything!  This time we are not doing a good enough job getting third parties the data they want.  Now, why is that?  Maybe because we are actually seeing and treating patients?  Are you kidding me with this crap?

More from the article: However, the provider community has done a poor job at collecting data, said Dr. Lisa Ihsii, the senior medical director for clinical integration and the chief quality officer for clinical best practices at Johns Hopkins Medicine. She explained the “provider community has done a poor job with data collection” and has resisted standard and systematic data collection. Physicians’ clinical notes are too cryptic and, though they mean something to the provider, they can’t be read by others and used to extract meaningful data, she said.

  • “It’s a sad state. It’s a data dump. It’s an aggregate system that private payers can’t make decisions on. We need to change how we do business,” Gregg said. “We need timely, accurate data.” (Gregg is vice president of employee benefits at Prudential Financial).
  • Dr. Julian Harris, the president of CareAllies at Cigna, believes teaching accountability in medical school will help “ensure we have a sustainable health care system.” It will teach what it means to take care of an entire population and what it means to be held accountable for cost. These are things not being taught in medical schools now, but something that could take a decade to implement. Using data from a claims perspective can be valuable, he said.

This is why I want nothing to do with industrialized healthcare.  We are blamed for everything.  We are treated as clerks who work for private payers. Oh, and we need to change the medical education system to fit the needs of Cigna.

All unproven.  All garbage.  Can we stop listening to these idiots already?

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  7 comments for “We Need to Get Data to the Private Payers!

  1. Pat
    November 12, 2017 at 9:25 pm

    Really, this story encompasses precisely how the AAFP regards its members/targets.

  2. Mamadoc
    November 9, 2017 at 11:24 pm

    News flash, sister. Data collection is not the job of the provider community. And I don’t give a rat’s fanny whether insurance companies can “make decisions.” RSW is right. We never should have given up on paper. Records security was a helluva lot simpler (and better) when it consisted of turning off the lights and locking the door.

  3. Sovereign Mary
    November 8, 2017 at 12:49 pm

    We don’t want or need some big, huge and unaccountable bureaucracy collecting anyone’s private medical information/data without our permission.
    What goes on between doctor and patient is none of the government’s and their bureaucrats business … unless the patient says otherwise.

    • Pat
      November 8, 2017 at 5:03 pm

      And yet everyone supports the continued existence of Medicare and Medicaid.

  4. Jerry S Purcell
    November 8, 2017 at 10:47 am

    I got your DATA right here! Suck it BIG SYSTEM. Healthcare is about individuals not numbers you freaking idiots. More humanity and less industry.

  5. RSW
    November 8, 2017 at 10:07 am

    “Time to dump the bastardized insurance platform EMR for something clinically useful for doctors and patients.”

    It’s called paper.

    We love it and our patients love it – a lot of them are techies and don’t want their data out there.

    Leave the office at 5 every day.

    Income top 20% of family docs.

    What’s not to like?

  6. Dr Mom
    November 8, 2017 at 9:30 am

    I’m tired of being a data entry monkey. Doctors make medical decisions. Insurance makes financial decisions. And the data my valuable time is wasted on entering is being used to try to develop a computer program to replace me. Time to dump the bastardized insurance platform EMR for something clinically useful for doctors and patients. Instead of for ethically questionable corporations.

Comments are closed.