How fee-for-service shapes your doctor’s decisions

KevinMD December 13, 2024
Jonathan Staloff, MD

Clinical case

Jessica is a 67-year-old woman having her very first visit with her new primary care clinician, Dr. Jackson. Jessica is accompanied by her husband, Daniel, and comes in with recent laboratory results from her previous clinician, whom she could no longer see because her clinic stopped accepting Jessica’s insurance, which she receives through Medicare and Medicaid as someone who is dually eligible for both. In clinic, her vitals are normal. Jessica shares that she has a longstanding diagnosis of type 2 diabetes, and that her most recent hemoglobin A1c assessed 4 months ago was elevated. She is also concerned about left knee pain, and her husband wants to talk about changes in Jessica’s memory. The primary care clinician...

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