Annals of Clinical and Laboratory Research

  • ISSN: 2386-5180
  • Journal h-index: 19
  • Journal CiteScore: 5.42
  • Journal Impact Factor: 4.64
  • Average acceptance to publication time (5-7 days)
  • Average article processing time (30-45 days) Less than 5 volumes 30 days
    8 - 9 volumes 40 days
    10 and more volumes 45 days
+44 7460731551
Awards Nomination
Indexed In
  • Genamics JournalSeek
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • Directory of Research Journal Indexing (DRJI)
  • Publons
  • Euro Pub
  • Google Scholar
  • Secret Search Engine Labs
  • Zenodo
Share This Page

Opinion - (2022) Volume 10, Issue 9

Improving Diabetes Care by Directing a New Compensation Model for Endocrinologists

Kevin Eliason*
Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, Boston, Massachusetts, USA
*Correspondence: Kevin Eliason, Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, USA, Email:

Received: 05-Aug-2022, Manuscript No. IPACLR-22-13284; Editor assigned: 08-Aug-2022, Pre QC No. IPACLR-22-13284(PQ); Reviewed: 22-Aug-2022, QC No. IPACLR-22-13284; Revised: 26-Aug-2022, Manuscript No. IPACLR-22-13284(R); Published: 02-Sep-2022, DOI: 10.36648/2386-5180.22.10.432


There is a consensus that payment for administrative services does not go far enough to support the provision of high-value care. Our Enterprise, a Pittsburgh-based payer-supplier corporation, created an endocrinologists' elective compensation model. With our arrangement, endocrinologists' jobs are continuously shifting away from clinical responsibilities and toward a more collaborative role with their key consideration partners. Given that the majority of diabetic patients are managed under primary care, this change enables endocrinologists to assist primary care physicians (PCPs) in managing patients with diabetes and other endocrinerelated illnesses while reducing the frequency of usual in-office references to endocrinology. Despite the unanticipated changes that COVID welcomed, during the first nine months of the pay model, we observed its impact on care delivery as well as the relationship between participating trained professionals and PCPs. Diabetes-explicit quality measurements have improved, according to practice- and supplier-level quality information. For diabetes executives, 16 out of 54 objective practises obtained NCQA recognition in a single year. A fulfilment score of > 90% was reported by a total of 88% of participating PCPs. Finally, our model suggests using guarantees in place of administration fees with a chance to reduce costs and improve the quality of care.


Compensation, Model Diabetes Care, Health Care Delivery.


Compensation, Model Diabetes Care, Health Care Delivery.


The United States has some of the highest per-capita medical spending on the planet. With medical services spending at $3.8 trillion ($11,582 per person) in 2019 and the overall share of total national output (GDP) associated with medical care spending at 17.7%, costs have been rising sharply. Despite the fact that we use medical care very frequently, the United States has failed to provide the best healthcare available. An analysis of the medical care frameworks in 11 high-income countries revealed that the U.S. maintains its leadership position in terms of admission to mind, regulatory effectiveness, value, and medical care outcomes. The United States has some of the world's best research, cuttingedge facilities, and offices, but the quality of our medical services hasn't kept up with these resources [1].

One of the main causes of the nation's excessive medical service costs is thought to be the charge for-administration instrument of pay. The National Commission on Physician Payment Reform was assembled by the Society of General Internal Medicine to examine the elements affecting such consumptions throughout the spectrum of medical services. They identified a number of important factors, but the cost for administration repayment stood out significantly among them. With no reason for the doctor to turn down any help, even if it is cosmically expensive and its benefit is hazy, there is an arrangement where charge for administration repayment does too little to even consider enabling the arrangement of skilled, high-esteem care [2]. Instead, this system encourages increasing the number of services provided, hinders care coordination, and promotes wasteful delivery.

Moving away from the expense-for-administration model of physician compensation and toward a model where cost investment funds and the nature of care are viewed as benchmarks promises to reduce the use of general medical care while demonstrating better consideration. At the end of the day, direct attention to the doctor lowers costs by reducing needless care. With Congress passing the Medicare Access and CHIP Reauthorization Act (MACRA) in 2015, which aimed to organise Medicare repayment based on results and value, this advancement has been the focus of numerous associations, including the U.S. government. The triple aim of medical care is to improve patient experience, advance population wellbeing, and reduce per capita costs. This regulation, along with many other drives (like in danger oversaw care contracts), expects to achieve these goals, but has not yet demonstrated that it can do so with workable results [3].

An endocrinologist would receive a restricted incentive pay-out under our proposed agreement in exchange for their efforts, which are compensated against assigned execution measures. While the agreement addresses a clever value-based payment structure, it also introduces another practical change to the way work is done: supporting key suppliers in a population-based approach to diabetes and other endocrine-related illnesses across the board. As was previously mentioned, switching to a new model should be continuous, with cost for administration continuing to be an important component of doctor instalment during a transition period. Our group then began putting this change into practise by creating two distinct payment pathways: groundbreaking and clinical [4].

Our system of medical care is constantly put to the test by the increasing prevalence of endocrinopathies, diabetes mellitus, and the astronomical costs anticipated combating this pandemic. It has become more fundamental than ever to understand the costs associated with diabetes and how they affect the overall cost of medical care as these numbers are expected to change. More significant care coordination and a common-sense approach to managing chronic illnesses are necessary for reducing these costs [5]. Participating experts have the fantastic opportunity to connect with their crucial consideration partners and smooth out training designs across the organisation in accordance with principles of care by upending the charge for administration model and emphasising care coordination. At the same time, our arrangement provides a sizable portion of savings from providing high-value care, maintaining compensation at economically sensible principles, and operating within honest evaluation.


  1. Maddox KE (2018) Financial incentives and vulnerable populations - will alternative payment models help or hurt?. N Engl J Med 378: 977-979.
  2. Indexed at, Google Scholar, Cross Ref

  3. Martin AB, Hartman M, Lassman D, Catlin A (2014) National Health Care Spending In 2019: Steady Growth For The Fourth Consecutive Year. Health Aff (Millwood) 40: 14-24.
  4. Indexed at, Google Scholar, Cross Ref

  5. Laugesen MJ, Glied SA (2012) Higher fees paid to US physicians drive higher spending for physician services compared to other countries. Health Aff (Millwood) 30: 1647-56.
  6. Indexed at, Google Scholar, Cross Ref

  7. Vigersky RA, Fish L, Hogan P, Kutler S, Ladenson PW (2014) The clinical endocrinology workforce: current status and future projections of supply and demand. J Clin Endocrinol Metab 99: 3112-3121.
  8. Indexed at, Google Scholar, Cross Ref

  9. Allen JD, Curtiss FR, Fairman KA (2009) Nonadherence, clinical inertia, or therapeutic inertia?. J Manag Care Pharm 15: 690-695.
  10. Indexed at, Google Scholar, Cross Ref