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Medical outsourcing

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Medical outsourcing is a business process used by organizations like hospitals, nursing homes, and healthcare provider practices to obtain physician, nursing, healthcare technician, or other services in a managed services model.

Physicians

Outsourcing of emergency department physicians, as well as radiologists and anesthesiologists in operating rooms, grew rapidly in the United States in the 2000s due a combination of several economic forces, and medical staffing companies developed niche expertise in various medical specialties. Since 2008 a number of Swedish hospitals have used teleradiology services to outsource their emergency night-time radiology to Australia where daytime staff cover Swedish nighttime patients.

Physician outsourcing has led to an increase in the number of people who received catastrophically large medical bills due to the outsourced physicians billing at out of network rates. A doctor in Tampa Bay claimed in 2015 that an emergency department she was staffing while working for a division of Envision Healthcare had chronically purchased the services of too few doctors, leading to excessive waiting times there.

Nurses

Some organizations have used outsourcing through nursing agencies or other medical staffing agencies to deal with the nursing shortage and as a way to save money.

Management functions

Some small practices have outsourced business functions to management services organizations.

Hospitals and medical centers also outsource revenue cycle management functions and real estate management.

Medical tourism

People needing or wanting healthcare sometimes make decisions to seek care in a different jurisdiction; the decision may be based on lack of quality, availability, or legality in the person's home jurisdiction, or it may be a business decision based on the cost of acquiring the care. This form of medical outsourcing on the consumer side is generally called medical tourism.

References

  1. Boyd, JB; McGrath, MH; Maa, J (January 2011). "Emerging trends in the outsourcing of medical and surgical care". Archives of Surgery. 146 (1): 107–12. doi:10.1001/archsurg.2010.308. PMID 21242454. Open access icon
  2. Barkholz, Dave (June 18, 2016). "AmSurg-Envision merger aims at hospital appetite for buffet of physician services". Modern Healthcare.
  3. "Nu granskas Norrtäljes röntgenbilder på andra sidan jorden". Dagens Medicin (in Swedish). Retrieved 2018-07-06.
  4. Johansson, Christopher (2016-09-05). "Röntgenplåtar skickas till Australien". Sveriges Radio (in Swedish). Retrieved 2018-07-06.
  5. Nyheter, SVT (2010-05-03). "Röntgenbilder skickas utomlands". SVT Nyheter (in Swedish). Retrieved 2018-07-06.
  6. Creswell, Julie; Abelson, Reed; Sanger-Katz, Margot (July 24, 2017). "The Company Behind Many Surprise Emergency Room Bills". New York Times.
  7. MacDonald, Ilene (February 5, 2018). "Surprise medical bills: Some patients owe thousands, but most don't have enough savings to pay for a $1K emergency". FierceHealthcare.
  8. Shopes, Rich (21 February 2015). "Doctor says she was fired for reporting low staffing at Brandon Regional ER". Tampa Bay Times.
  9. "9 Thoughts on Outsourcing: When To Outsource and How to Do it Successfully". www.beckershospitalreview.com. October 15, 2010.
  10. Rau, Jordan (January 10, 2018). "Outsourcing services leaves nursing homes underfunded, understaffed | BenefitsPRO". Kaiser Health News via BenefitsPRO.
  11. Aiken, L. H. (1 February 2002). "Hospital staffing, organization, and quality of care: cross-national findings". International Journal for Quality in Health Care. 14 (1): 5–13. doi:10.1093/intqhc/14.1.5. PMID 11871630. Open access icon
  12. Walker, Ben (July 17, 2017). "If you operate a medical practice, you should be outsourcing | Medical Economics". www.medicaleconomics.com.
  13. Harris, Gardiner (25 March 2010). "More Doctors Taking Salaried Jobs". New York Times.
  14. Kacik, Alex (January 27, 2018). "More providers are outsourcing revenue-cycle management in order to cut costs". Modern Healthcare.
  15. Kacik, Alex (April 3, 2018). "Health systems could free up a significant amount of capital if they act like real estate investors". Modern Healthcare.
  16. Boyd, JB; McGrath, MH; Maa, J (January 2011). "Emerging trends in the outsourcing of medical and surgical care". Archives of Surgery. 146 (1): 107–12. doi:10.1001/archsurg.2010.308. PMID 21242454. Open access icon
  17. Lunt, Neil; Smith, Richard; Exworthy, Mark; Green, Stephen T.; Horsfall, Daniel; Mannion, Russell (2011). "Medical Tourism: Treatments, Markets and Health System Implications: A scoping review" (PDF). OECD.
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