European Groups Weigh In on SMI, Diabetes
Several private insurers encourage and attempt to incentivize clinics and individual providers to follow these recommendations, but Dr. Parks said he is unaware of any that actually require compliance.
“I don't know of any health care entity anywhere that delivers on all of either the American or European recommendations,” Dr. Parks said. “If we want to see widespread adoption of these kind of evidence-based standards of care, then the payers need to require it in their contracts, pay more when evidence-based standards of care are followed, and pay less when they are not. Within our current system if you really want something to happen routinely and systematically throughout the health care delivery system, there must be either a legal requirement or financial incentives. Everything else is just wishful thinking.”
The three organizations have developed pragmatic guidelines. This is a collaborative effort.
Source Dr. Holt