tci Part B Insider - 2005 Issue 28

QUALITY: Physcians Not Ready For P4P, Senate Panel Told

Take it slow, say surgeons, while CMS introduces roadmapThe steamroller of pay for performance (P4P) keeps pushing forward, no matter what physicians do."Change to Medicare's payment systems is urgently needed," because the current payment system is "neutral or negative to quality," Mark Miller, executive director of the Medicare Payment Advisory Commission testified before a  Senate Finance Committee hearing on July 27. In other words, providers often receive more payment if they provide bad care, because patients become sicker and need more care.Finance Committee chair Sen. Chuck Grassley (R-IA) stressed the need to implement P4P for...

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