Providers would be unfairly on the hook under suggested changes
Regarding the article “Revised NCQA standards still focus ed on process, critic says” (ModernHealthcare.com, March 11), unfortunately the changes in medical-homes standards desired by Francois de Brantes would make the care provider responsible for the patient’s behavior in the long run.
Thus, if a patient continues to smoke, despite efforts to stop, and dies of lung cancer, the provider would be downgraded. If a congestive heart failure patient loaded up on salt, despite instructions on salt avoidance, and showed up at the ER in fulminant CHF, the provider would be downgraded.
These types of measures will probably be quite successful in having “noncompliant” patients dismissed from practices, instead of receiving the more-intensive, but moreexpensive, care that may be needed for true behavior changes to occur.
Dr. John Stokes Chairman, department of endocrinology Christie Clinic Champaign, Ill.