Physicians want collaboration, not complication, from payers
The physician community has a simple message for payers: Let doctors be doctors.
Doctors’ sentiment is overwhelmingly negative toward payers, identifying more obstacles than true collaboration in primary care. In this issue, we unveil the results of the Medical Economics Payer Scorecard, an exclusive project gathering input from nearly 1,100 physicians nationwide on their relationship with health insurers.
Physicians are fed up with frequent and lengthy prior authorization calls, with begging for a reasonable fee schedule–or simply taking what they can get–and difficulty in getting paid for their work. They want payers out of clinical decisions and more open to working with physicians rather than creating a combative relationship.
In a value-based environment, improving this relationship is key for both sides. Payers need up-to-date, quality data about their members to make business decisions.
Physicians need metrics that make sense, and to be rewarded for their hard work, not bogged down by red tape and onerous data reporting to prove they are making a difference in patients’ lives.
So how do two sides, forced to work together for decades, repair this tenuous relationship? The answer is to let doctors be doctors.
Physicians who responded to our survey have simple requests. They would like to get back into the exam room, not wait on hold to argue for their latest treatment plan. They want simple online forms and less physical paperwork for themselves and their staff so they can return their focus to patient time. They want clear language – and even some guidance – on denied claims (if told what they are doing wrong, doctors are happy to correct the error; it’s the mystery that frustrates them.)