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It’s the incentives, stupid

Chris Rangel has emerged from his blogging sabbatical with some great stuff about physician-employees and incentives:

But as an incentive the company agreed to pay this local internist PER PATIENT (just like what any self-employed doc gets). This internist was only too happy to comply. He got to the hospital at 4 or 5 am, saw patients until 10 or 11 am, then went to see his office patients until the late afternoon and then finished up at the hospital in the early evening. Many days he covered the ENTIRE service!

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