Some providers will resent less obedient patients, but others will enthusiastically support more individually appropriate solutions and take risks with their patients. It’s likely that the early adopters (most likely the more affluent and educated) will soon become a noticeable minority in some physicians’ offices.
Federal and state officials have moved this year to impose some preparedness requirements on providers that will have an effect in 2018 and years beyond. For instance, CMS’ finalized emergency preparedness rules for health care providers that serve Medicare and Medicaid patients went into effect last month.
Building on a similar effort in California, Catalyst for Payment Reform is proposing a standardized set of 50 ACO measures. Some of the country’s largest purchasers are taking it to their health plans.
Some of the greatest people who’ve ever lived not only overcame pain and suffering, but achieved their greatness because—rather than in spite—of those conditions. That includes behavioral health as well.
In theory, this approach could help untangle some knotty cost and quality concerns about medications as they move from clinical trials and into clinical use. But there’s that credibility issue.