Physicians and investors skirmish over control
January 22, 2023
At DocSpot, our mission is to connect people with the right health care by helping them navigate publicly available information. We believe the first step of that mission is to help connect people with an appropriate medical provider, and we look forward to helping people navigate other aspects of their care as the opportunities arise. We are just at the start of that mission, so we hope you will come back often to see how things are developing.
An underlying philosophy of our work is that right care means different things to different people. We also recognize that doctors are multidimensional people. So, instead of trying to determine which doctors are "better" than others, we offer a variety of filter options that individuals can apply to more quickly discover providers that fit their needs.
January 22, 2023
Some states have laws that prohibit medical practices from being owned by corporations that are not themselves owned by licensed doctors. Kaiser Health News reported on a controversy where some private equity groups (not owned by licensed doctors) effectively own medical practices or staffing groups through the use of physicians who technically own such groups, but who have no direct control. Other physicians (or groups of physicians) have sued to stop that practice.
A shallow analysis of the situation might suggest that preventing non-medical corporate owners of physician practices would be a good thing. After all, non-medical corporate owners of physician practices might unduly pressure medical staff to hurry patient visits or to overbill. Physicians who are replaceable employees might feel enormous pressure to comply and perhaps compromise quality of care. The theory is that physicians are professionals and if they owned the corporations that owned the practices, they would not let the financial picture distort medical care.
Thinking about this situation further, however, reveals a naivety with the shallow analysis: physicians are corruptible people too. Some physicians have overbilled and some physicians have been found to have committed malpractice. Perhaps even that there are enough physicians to participate in these ownership schemes without direct control suggests that full compliance with the spirit of the legislation could still lead to other loopholes being exploited. Interestingly, the Texas Medical Board declined to intervene against doctors who were accused of participating in these schemes.
There might not be an easy answer for what the policy here should be. Restricting ownership to licensed doctors seems like it would be an inadequate measure. Ideally, there would be some way for employee doctors to voice complaints about interference with medical care, and it would be easy for doctors to change employers. The consolidation of the medical industry can make both of those conditions more difficult to realize.
January 15, 2023
Another change that we have been working on recently is to allow a user with a Google account to leave reviews and comments without having to create a separate account on our site. Now, instead of creating an account to leave a review, users can sign in via their Google accounts.
Our policy is to have a verified email address associated with each review so that we have someone to reach out to in case there are questions about a review. Hopefully, the changes that we have released recently will make it easier for users to let others know about their experiences with specific providers.
January 08, 2023
This week, we plan on releasing some updates to the reviews and comments functionality. Previously, the two functions were on separate tabs, and we have tried to streamline the interface by unifying overlapping functionality.
After we released the comment functionality last fall, we noticed that many people left comments were more appropriate as reviews. We hope that the new interface will encourage people to leave comments as comments and reviews as reviews.
January 01, 2023
We're excited for this year, and hope to bring out new features to this site.
Hopefully, 2023 will be even better than 2022. Happy New Year!
December 25, 2022
We hope you had an excellent year, and have an opportunity to connect with family and friends over the holidays.
Merry Christmas!