Physician,Ratings,The,Growing, health Physician Ratings - The Growing Controversy
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There is a growing controversy in the medical world and it has to do with insurers providing physician ratings to their end users, providing them with lower out of pocket costs and other incentives if they choose to use the doctors the insurance companies deem best. As one might expect, this isnt going over so well with the doctors themselves. Doctor groups have been extremely critical of these new plans, feeling as though the insurance companies dont have any business trying to steer their patients to one doctor over another. While a system such as this might be useful in some form, these groups argue that the rankings are unreliable at this point and have created an unfair climate.Insurance plans that favor one doctor over another are nothing new of course. For a long time, insurance companies have given patients discounts and greater benefits for going to see only those doctors who are in a certain network. These physician ratings, however, take this notion even further. Even within the network of contracted doctors there are now tiers. These tiers are developed through the rankings, which are based on factors like cost and quality. If the patient chooses to see a doctor who is in one of the higher tiers, they might be subject to fewer out of pocket costs than if they went to see one in the lower tiers. The problem arises because of the way the ranking system is implemented. For instance, one doctor might rank higher than another because they order fewer tests, thus making them more efficient. One can see, then, how doctors themselves would balk at such a system, when more efficient may not mean better care. Doctors opposed to the system argue that this is a step in the direction of reducing health care to nothing more than a contract bid, with the best jobs and the most patients going to the doctors who can provide the lowest costs and the fastest service.These feelings arent merely based on conjecture. According to a letter doctor groups sent to the American Medical Association, a recent study by the Rand Corporation showed that these physician ratings were unreliable. Also noted was a study done in the New England Journal of Medicine which took a close look at four health plans in the state of Massachusetts. These plans had a two tiered system based solely on costs. The study found that approximately 22% of doctors would be misclassified by such a system.
Physician,Ratings,The,Growing,