In reply to wgrichardson http://cmatalks.blogspot.com/2010/12/t1-60.html
wgrichardson
Somewhere in the talking and hearing using the English language people have to have the same definition for the same words.
e.g. when we hear " scope" we immediately think of it as meaning ( breadth or opportunity to function) as if it widens the multiplicity of our opportunities
In reality the payor is looking for " economies of scope" which essentially means fill up the vehicle with all of the different items you are buying, so you will only have to make one trip and thus reduce cost.
Many people think it means economies of "scale" where you simply plug several outlets into "bulk" purchasing power
Ideally the two would exist in harmony.... versus separately
Therefore, getting reduced usage by the patient is not the problem.
Getting ?reduced/wiser usage of the ?system by the medical practitioner/supplier is the answer.
http://www.healthcaretransformation.ca/en/topics/view/id/1#comment-86
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