>From: [log in to unmask]
>Date: Sun, 8 Feb 1998 20:53:27 +0000
>
>> I do not see a PCG operating with 13 competing companies, but I can
see
>> it
>> operating with an agreement to pool both work and remuneration,
>> equitably.
>>
>> Interesting times.
>
>So, could you see incentives/penalties within a PCG for good/bad
>practices??
>
>I'm cetainly not happy pooling my practices resources with another
>that 'consumes' 50% more with the same 'need'.
>
-----------------------------
Sorry, missed my (rather radical) point.
I don't see us pooling resources with other practices, I see us
becoming single partnerships per PCG.
There have always been arguments between partners about how one
spends money on the patient services which another might keep
and divide among the partners, but they prove easier to resolve
in a single org than among several.
The practice consuming 50% more would say that this is because they
are doing more work, more good, and that you have not observed the
unmet needs. One of you might be right, I suppose, but equally the
patients you have may be different. Equal shares, one for all,
all for one and pay the doctors' salaries off a topslice of the PCG
budget.
--- OffRoad 1.9r registered to Adrian Midgley
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