PILOT SPIN

Spin Zone => Spin Zone => Topic started by: Mase on February 04, 2016, 05:07:45 PM

Title: Perverse Incentives Are Ruining Health Care
Post by: Mase on February 04, 2016, 05:07:45 PM
One Doc’s Story (http://medicaleconomics.modernmedicine.com/medical-economics/news/how-perverse-incentives-are-ruining-healthcare?page=0,0)

" Dissatisfaction and burnout among primary care providers—a function of larger and sicker patient panels, inadequate appointment times, more burdensome and tedious administrative tasks, and poor compensation—have been well documented.  The rewards of the doctor patient relationship and the intellectual stimulation of clinical problem-solving were enough to keep some of us in the primary care trenches.  But it was a close call.

With the introduction of CMS's unethical incentive and penalty programs, most notably the Physician Quality Reporting System (PQRS) and Meaningful Use (MU), an unpleasant practice environment was now an unacceptable one for me."

"The notion that PQRS promotes quality care rests on the flawed assumption that a bloated federal bureaucracy, CMS, can be nimble enough to produce quality measures that keep up with the rapidly evolving state of scientific evidence.  Reality contradicts that assumption. "