Question

Reimbursement for procedures remains more lucrative for physicians compared to “cognitive” medicine where procedures are limited and reimbursement is generally less. can you think of ways to incentivize doctors to go into various needed areas of medicine that have fewer procedures by reimbursement strategies?? (For example rural areas, third world countries)

Furthermore, rural areas also have more primary care Health Professions Shortage Areas, a higher percentage of poverty, a greater number of patients with chronic disease, a greater percentage of elderly persons, and a greater proportion of patients receiving Medicare, Medicaid, or without health insurance than nonrural areas.

While this shortage of physicians in rural areas is not new, it appears to be worsening despite the large and increasing number of physicians being trained in this country. Moreover, recent data shows, that few medical school graduates (2.2%) plan to practice in rural areas or small towns which raised serious questions, as to whether this is likely to improve in the future. So, definitely, medical schools can have an important role in meeting the needs of the public.

Answer 1

1. Motivate the doctors
2. Monitor their behaviours closely
3. Provide pay for performance or merit pay
4. Traditional medical ethics reinforcement
5. Rationing the pay
6. Introduce innovations in payment
7. Enforce rules that every physicians should serve rural areas for a certain period of time .
8. Increase tax credits for physicians who involves in various needed areas of medicine
9. Engage physician in decision making practices.
10. Formulate a plan combining communication , compensation and competition.