ValueMD Medical Schools Forum - View Single Post - Is it unfair for the doctors to charge the way they do???

AUCMD2006 · #11 (**permalink**) 04-19-2008, 03:54 AM

Quote:

Originally Posted by BrendaB_MD

Capping payments is simply one tactic in the broad strategy of pay for performance. While the articles don't specifically relate to capped payments, pay for performance is definitely coming. There is no reason why doctors should be exempt from performance measurement.

NEJM -- Pay for Performance in Commercial HMOs

NEJM -- Public Reporting and Pay for Performance in Hospital Quality Improvement

JAMA -- Pay-for-Performance: Will the Latest Payment Trend Improve Care?, February 21, 2007, Rosenthal and Dudley 297 (7): 740

why do we continue to punich doctors over and over and over and over again? if we want to do pay for performance then apply it broadly! can we have CEOs that run companies to the ground work on P4P? maybe instead of the 100million golden parachute they can have their pay deducted when the factory workers don't show up to work, or drink do drugs while working thereby reducing the productivity

how about lawyers go on P4P? we will have lawyers reduce thier fees when their clients don't take thier advice and drink and drive getting another DUI.

when i keep hearing about all the crap thery want is to lead and be role models for i just think back to the movie "old school" when frank the tank "leads" the streak but nobody follows...physicians are the frank the tanks of the world because we all think we should lead and be professional models while the rest of the professions just laugh all the way to the bank

i am spending my time filling my head with knowledge, working 70-90hrs a week so that i can practice medicine...by practicing medicine i am putting out a product (medical advice) why should i be paid less for it?

and you think this P4P is so great? i will bet my left epidymidis that this will backfire so quick you will wonder what the hell happened..i'll spell it out for you: P4P basically pays more for good results, good results come from practicing evidence based medicine but mostly good results come from healthy compliant patients....the only thing that P4P is going to accomplish is that more and more docs are going to tailor their practices to have good numbers by only keeping healthy compliant patients..the gomers and gomeres will be turfed to your local ER where an already crumbling infrastructire will be further strained taking care of the wake left over from your wonderful P4P system.

is it coming yes but many docs are not taking it and are already starting to refuse insurance. so the US does not need socialized medicine to have 6 month waiting times we just need to further burocratize and penalize doctors to the point where it will no longer be worth it to work