In Canada, some physicians treat only low complexity patients, the so-called ‘worried well’, because, they are easier to deal with and there is no significant difference in reimbursement between low and high complexity patients.
When these pay-for-performance schemes are tried, providers often engage in ‘cherry picking’ patients likely to have better outcomes. Even when bureaucrats counter by trying to give more consideration to more complex patients, the math usually works put in favor of numerous non-complex patients. Providers can also take advantage of overly rigorous patient compliance rules which can be implemented to exclude and discharge patients that fail to comply with treatment regimens. This makes the provider’s profile look better to reviewers.
Cacomorphobic
Fear of 2nd hand fat
Hatred for people of the Fat Race !