Outcome payments and performance…

“G’day doc. I’m a little embarrassed to bring this up but…”

“No worries, you know you can be honest here. Let’s check your blood pressure first. It was a bit high last time.”

“Oh… ok. Not dangerously high I hope?”

“Well it was just above the benchmark, which is concerning. As you know I don’t get paid if I don’t look after your pressure. Let’s see… 140 over 90. Uh oh. I’m afraid we have to bump up your medications.”

“But doc, could it be stress? I wanted to tell you that…”

“Stress, stress… That’s all well and good but Medicare doesn’t care what the cause is. If it’s too high I miss out. And if I miss out you miss out, you know that don’t you? We also have to talk about your weight target. As I’ve told you before, if you don’t lose those extra pounds our practice cannot afford to look after you any longer.”

“Are you listening to me? John and I broke up last night. I’m a mess!”

“I’m sorry to say that there’s no incentive payment for counselling anymore. Please do me a favour and book in for your pap smear on the way out. Last time you were late and we missed the deadline for our quarterly Medicare bonuses. We don’t want that to happen again do we?”