Finally, most payors (including Medicare) no longer recognize consultation codes for inpatient services and do not pay for “comanagement” of patients—that is, two different physicians seeing and treating the patient
$226,065 for local groups);. Academic hospitalists were least likely to participate in comanagement (71% vs.
In a prospective, observational study at an urban academic hospital, researchers compared 828 consecutive medical patients admitted to a hospitalist-led ICU team (with intensivist consultation/comanagement of 152 patients) with
Despite UCSF's appealing location and prestigious reputation, Dr. Wachter has had to prioritize his staff expansions between night coverage and comanagement. ... Comanagement of nonmedical patients—motivated in some cases by other specialties'
Marley said. Therefore, hospitalists at small hospitals must be able to manage a broader array of patients through telephone or virtual consults and without in-person subspecialist comanagement, according to Dr.
Meanwhile, hospitalist leaders are watching their budgets swell as more clinicians are needed for direct care and comanagement.