From the dark side: Payers' views on paying us Knowing our adversaries can help us better represent our needs and our patients'.

摘要

Few of us think that we are paid appropriately for our work. We regard payers, whether government or private, as adversaries who impose needless bureaucratic hardships and impede rather than facilitate efficient, high-quality patient care. Growing payer focus on chronic disease management and prevention, plus intensifying scrutiny of acute, costly interventions outcomes梚e, operations梙ave created a climate in which surgeons feel beleaguered and disenfranchised. For surgeons, taking a larger-scale, strategic, systems-based view of reimbursement might allow us to better represent our needs and those of our patients.