Managed Care Nonphysician Clinicians

Getting Doctors to Compete

There is an interesting post at GoozNews (“Getting Doctors to Compete“) in which Merrill Goozner comments on Harvard Business School professor Michael Porter’s belief that competition and integrated care are the solutions to the nation’s health care woes.

“Where we need to go is an integrated practice model,” he said. His model entails patient-focused practice groups that knit together every specialty needed to treat an individual’s medical condition. It’s not that physicians will no longer specialize; it’s that they’re no longer going to practice in specialty silos divorced or only marginally connected to all the other people providing that particular patient’s care.

Competition enters this new system by giving individuals information about the relative performance of these integrated practices.