tci Medicare Compliance & Reimbursement - 2005 Issue 13

COVERAGE: Currently, Not All Physicians Enamored With P4P Proposal

P4P must be voluntary, docs contend.The pay-for-performance movement seems well on its way in health care, but it still needs to win more buy-in from the people who receive the pay.The American Medical Association March 2 issued principles and guidelines that it says should guide all P4P programs. Most problematic for health plans could be this principle: "Physician participation in any [pay-for-performance] program must be completely voluntary."An increasing number of health plans have instituted P4P programs, and even those who have voluntary programs are hoping to eventually expand them to cover all physicians.In addition, Medicare...

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