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155 programs compared to 39 in 2 ...

Posted Nov 10 2008 4:23pm

155 programs compared to 39 in 2003...if you try to keep on top of this with paper, you will undoubtedly have one big administrative mess...make sure you have an EMR or something along the same line that will calculate the registry statistics of your practice, otherwise it will be their word against yours..and with so many plans and the variations, trying to figure all this out with paper...well... are they banking on the physician who continues to use paper and will not have the time to reconcile with their figures...something to think about for the near future and how to handle.  BD

The number of pay-for-performance programs has practically quadrupled in the last five years, according to a report released last week, andin the past few weeksit appears that the number of related items in the news has proliferated by a similar percentage.

Even as payers issue glowing news releases about the expansion of their programs' scope and the millions of dollars in physician rewards they're dispersing, government officials, research organizations and physicians are questioning the motivation and methodology of current pay-for-performance programs. In the end, the one industry segment that may truly be happy with pay-for-performance programs are health IT vendors who can persuade providers that their electronic systems are absolutely necessary for the data management that require such programs

The data, from healthcare informatics group Med-Vantage and the Leapfrog Group, projected there will be 155 pay-for-performance programs in place this year, compared with only 39 in 2003.

Meanwhile, the physician-ranking programs under consideration for use by insurers Aetna, Cigna HealthCare and UnitedHealth Group have come under scrutiny by New York State Attorney General Andrew Cuomo, who expressed concern that the rankings may be used to steer patients toward less-expensive rather than higher quality providers.

Modern Healthcare Online

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