tci Part B Insider - 2007 Issue 10

PHYSICIAN NOTES: The Patient's Main Medical Brain Is Difficult To Explain

Apply early for replacements for doctors on military dutyEven if Medicare figures out how to define and measure -quality,- it will have a hard time deciding which doctor gets the credit for a good outcome, according to one recent study. Pay-for-performance (P4P) schemes always assume that Medicare will be able to choose one doctor who is responsible for the quality of a patient's care. But this assumption doesn't fit the facts, according to a study in the March 15 New England Journal of Medicine. Medicare beneficiaries saw an average of two primary care physicians and five specialists...

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