Health Care Quality Measures Are Not Part of Physician Incentives

//Health Care Quality Measures Are Not Part of Physician Incentives

Health Care Quality Measures Are Not Part of Physician Incentives

The Wall Street Journal health blog reported that a large physician search firm said that seventy-four percent (74%) of the jobs  recruited for in the year ending March 31 featured a performance bonus for physicians, and ninety percent (90%) of the time the bonus  was linked to volume, not quality.   This is often called “fee-for-service.”   Less  than seven percent (7%) bonuses tied physician rewards to  quality or cost goals.

Fifty-six percent (56%) of physicians nationally are employed by hospitals, an increase from fifty-one percent (51%) in the prior year and only twenty three percent (23%) in 2003 to 2005.   This trend is accelerating because hospitals are buying physician practices and merging other hospitals.

Clearly health care payment reform will not work unless the fee for service model is changed to a model with shared risk for physicians and a focus on quality.

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By | 2017-05-04T04:06:58+00:00 June 9th, 2011|Quality measures|0 Comments

About the Author:

Michael is Managing Partner & CEO of No World Borders, a leading health care management and IT consulting firm. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $4 billion in healthcare mergers and acquisitions. Education: UC Irvine – Economics and Computer Science, University of Southern California – Business, Stanford Medical School – Biomedical Informatics, Harvard Law School – Bioethics.

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