This might only be tangentially related (are “management consultants” limited to staffing intervention?) but it’s been really difficult for small practices to adapt to the increased administrative workload brought by obama era electronic records compliance. Insurance companies and charting company (Epic) used the requirement as an opportunity to monopolize the charting software arena and, relatedly, to increase surveillance of doctors’ decisions by insurance agencies.

The insurance companies now regularly (roughly monthly) change requirements so that hospitals need to hire dedicated staff to keep their doctors up to date on how to fill out their charts with the exact right wording so that insurance companies will pay their portion. Practices that can’t afford to hire a dedicated administrative staff for this are going under. This makes it so only large practices are really able to afford to keep up with insurance regulations. I wonder if some of this consultant bloat was non-profit hospitals trying to adapt to this.

Incompetent-management is whole-economy cancer.

Exactly as competent, quality education enriches the entire jurisdiction/region, & so does working transport-infrastructure, so-too does the gov’t providing non-malware decision-support & mgt-support frameworks, tools, apps, etc, “grease the wheels” of the economy.

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