Commentary
The economies of scale leading to superior pay are only realized in huge ACOs that cover large numbers of patients who are healthy or face entry barriers to the medical system. While treating dermatologic conditions improves patient quality of life perceptions, it does not lead to decreased healthcare utilization. The best approach for dermatology issues is to tell the patient their psoriasis is really very minor, not worth treating, and it is unnecessary to see a dermatologist. » What does this new philosophy mean for our specialty and our society?
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