The government attempts to compare MDs

Article

The Medicare Payment Advisory Commission and the Centers for Medicare & Medicaid Services are considering ways to compare the number and level of services one physician provides against another.

The Medicare Payment Advisory Commission and the Centers for Medicare & Medicaid Services are considering ways to compare the number and level of services one physician provides against another. The goal is to create a confidential ranking that would show individual physicians how efficient they are compared to their peers. The hope is to rein in overutilizers, and therefore control Medicare outpatient spending.

According to American Medical News (5/16/05), the ranking would allow a physician to see, for example, whether he or she used more hospital care to treat patients with emphysema than prescription drugs or home health care, compared to other doctors. The raw data to obtain this information would come from claims submissions, and initially, would not affect Medicare payments. Ultimately, the data could be used to create a national pay-for-performance program.

The American Medical Association warns that rating physicians based on performance on Medicare claims data alone ignores other factors involved in the care of a patient. The claims data may not reflect the severity of the patient's illness or circumstances, nor take into account evolving medical guidelines.

Related Videos
Addressing racial and ethnic disparities in brachial plexus birth Injury | Image Credit: shrinerschildrens.org
Innovations in prenatal care: Insights from ACOG 2024 | Image Credit:  uofmhealth.org.
Unlocking therapeutic strategies for menopausal cognitive decline | Image Credit: uclahealth.org.
Navigating menopause care: Expert insights from ACOG 2024 | Image Credit: mayo.edu.
raanan meyer, md
New data shows elinzanetant's efficacy in treating menopausal symptoms | Image Credit: uvahealth.com
© 2024 MJH Life Sciences

All rights reserved.