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# In Kantovia, physicians income comes from insurance

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BSchool Forum Moderator
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In Kantovia, physicians income comes from insurance [#permalink]

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14 Nov 2011, 17:57
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In Kantovia, physicians’ income comes from insurance companies, which require physicians to document their decisions in treating patients and to justify deviations from the companies’ treatment guidelines. Ten years ago physicians were allowed more discretion. Most physicians believe that the companies’ requirements now prevent them from spending enough time with patients. Yet the average amount of time a patient spends with a physician during an office visit has actually increased somewhat over the last ten years.

Which of the following, if true, most helps to resolve the apparent discrepancy between physicians’ perceptions and the change in the actual time spent?

A. Patients are more likely to be in a hurry nowadays and are less willing to wait a long time to see their physician.

B. Physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing.

C. Physicians are increasingly likely to work in group practices, sharing the responsibility of night and weekend work.

D. Most patients would rather trust their physicians than their insurance companies to make decisions about their treatment.

E. Since the insurance companies pay physicians a set amount for each office visit, it is to physicians’ financial advantage to see as many Patients as possible.

Please answer with detail explanation. Thank you all :D
[Reveal] Spoiler: OA

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Re: In Kantovia, physicians’ income comes from insurance compani [#permalink]

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14 Nov 2011, 19:13
A)If patients are in hurry how are the doctors able to spend more time with patients?weakens the conclusion....
B )PERFECT....it clearly says why did the change occur.... there was change because of the machines.. wider range of options..which was not earlier.. and it clearly says.. " today"
C) so what?if they work in groups or independently.. out of scope....
D ) earlier also the patients used to trust their physicians... not so clear...it is not taking why did the change happen now....
e)insurance companies used to pay earlier and also now.. so what is the change which made physicians to spend more time with patients?doesn't not resolve the paradox.....
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Re: In Kantovia, physicians’ income comes from insurance compani [#permalink]

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14 Nov 2011, 19:29
Thank guy. I have seen the two controversial issues :

"not enough time with patients" vs. "the average time of patients increase"
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Re: In Kantovia, physicians’ income comes from insurance compani [#permalink]

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14 Nov 2011, 20:13
B. May not be the best possible explanation
But none of the other options come close
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Re: In Kantovia, physicians’ income comes from insurance compani [#permalink]

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14 Nov 2011, 20:57
I ll choose B by elimination.

A and E out because it suggests the opposite. It suggests that the average time is reduced.
C and D are irrelevant.

Hence B is the best.
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Re: In Kantovia, physicians’ income comes from insurance compani [#permalink]

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16 Nov 2011, 02:41
There is a direct way to see B.

Premise 1: Most physicians believe that the companies’ requirements => less time spent with patients.
Yet
Premise 2: Actual avg time spent increased

Now only B is talking about how the time spent between physicians & patient increased. Note that physician can continue to believe otherwise.

None of the choice explains Premise 2 clearly
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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14 Nov 2013, 02:55
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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14 Nov 2013, 19:43
Quote:
In Kantovia, physicians’ income comes from insurance companies, which require physicians to document their decisions in treating patients and to justify deviations from the companies’ treatment guidelines. Ten years ago physicians were allowed more discretion. Most physicians believe that the companies’ requirements now prevent them from spending enough time with patients. Yet the average amount of time a patient spends with a physician during an office visit has actually increased somewhat over the last ten years.

Claim 1: Most physicians believe these documentation requirements prevent them from spending enough time with patients.
Claim 2: Yet, the average amount of time patients spend with physicians has actually increased.

A. Patients are more likely to be in a hurry nowadays and are less willing to wait a long time to see their physician.
Incorrect: irrelevant to our argument, and it does not explain the discrepancy.

B. Physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing.
Correct: while it could still be true that physicians believe that documentation reduces the time they can spend with patients, B states that doctors are now able to spend time with patients because they have more to consider when diagnosing/examining patients.

C. Physicians are increasingly likely to work in group practices, sharing the responsibility of night and weekend work.
Incorrect: irrelevant to our argument, and it does not explain the discrepancy.

D. Most patients would rather trust their physicians than their insurance companies to make decisions about their treatment.
Incorrect: irrelevant to our argument, and it does not explain the discrepancy.

E. Since the insurance companies pay physicians a set amount for each office visit, it is to physicians’ financial advantage to see as many Patients as possible.
Incorrect: tempting, but take note of the particular language. The argument is talking about time spent with individual patients, not all patients in general. We could still have doctors seeing more patients than ever before, but still complain that they don't have enough time to spend with any of them individually, due to the insurance company's documentation requirement. This does not resolve the discrepancy.
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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08 May 2014, 09:19
Remember that paradox answer choices must address both sides of the inconsistency. In this case, it is the 'before' and the 'after' the implementation of the new treatment guidelines. Hence, one can easily eliminate answer choices C,D,E as they have no basis of comparison. Between A and B, A actually weakens the conclusion.

Answer: B

Hope this helps
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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14 Aug 2015, 14:03
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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03 Aug 2016, 09:45
Hey everyone,

I picked Option 'E', for the reason that the argument states that physicians get to spend less time with patients and that the actual time spent at the office is higher. In option 'E' , it states that physicians get to spend very little time (solves 1st condition) and that physicians have to see as many patients as possible. In that case, waiting time increases and therefore patients spend longer duration at the office.

Am I thinking too much.?
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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03 Aug 2016, 09:58
narendran1990 wrote:
Hey everyone,

I picked Option 'E', for the reason that the argument states that physicians get to spend less time with patients and that the actual time spent at the office is higher. In option 'E' , it states that physicians get to spend very little time (solves 1st condition) and that physicians have to see as many patients as possible. In that case, waiting time increases and therefore patients spend longer duration at the office.

Am I thinking too much.?

Why did you assume that there is an increase in waiting time?

Spending 10 mins on one patient and spending 10 mins on 5 patients doesn't increase the average time of patients.

B clearly states that since the number of diagnosis has increased, patients are getting diagnosed for multiple things now.
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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26 Mar 2017, 05:24
IMO B is the best option available rest either do nothing or just weaken that physicians are spending more time.
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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09 Feb 2018, 09:32
could anyone please explain the logic behind option B? I am unable to see how B resolves the paradox. I thought it was oos
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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19 Feb 2018, 10:58
both A and E does not resolve but make the paradox more complex.
C and D are out of scope.
B implies that the time correlates with more new options of treatments.
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Re: In Kantovia, physicians income comes from insurance [#permalink]

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19 Feb 2018, 12:24
So the discrepancy is: the physicians think that because of the insurance companies policies, physicians are not able to spend enough time with the patients while they actually are spending more time with the patients. Why the disconnect between what they think and what is the reality? Let us look at the options-
A. Patients are more likely to be in a hurry nowadays and are less willing to wait a long time to see their physician. This should rather decrease the time spent. Incorrect.

B. Physicians today typically have a wider range of options in diagnosis and treatment to consider with the patient before prescribing. Probable contender. Keywords: "wider range of options in diagnosis". Focus on "wider". So since they have more range of options for diagnosis and treatment they might be spending more time with patients. Hold.

C. Physicians are increasingly likely to work in group practices, sharing the responsibility of night and weekend work. Gives no information about time spent with patients. Irrelevant. Incorrect.

D. Most patients would rather trust their physicians than their insurance companies to make decisions about their treatment. Again, no information about actual time spent between patients and physicians. Irrelevant. Incorrect.

E. Since the insurance companies pay physicians a set amount for each office visit, it is to physicians’ financial advantage to see as many Patients as possible. This should have rather decreased the time spent. Incorrect.

Hence, B.
Re: In Kantovia, physicians income comes from insurance   [#permalink] 19 Feb 2018, 12:24
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# In Kantovia, physicians income comes from insurance

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