In response to Matthew DoBias' "CMS announces PQRI bonuses":
The majority of metrics in the Physician Quality Reporting Initiative are measurements that are performed only in primary-care physician offices. Most primary-care doctors state that they already provide the care that is being measured by the metrics. And compiling and submitting the metrics costs more than the PQRI payments for participation ($600 per physician, per year).
This payment will redirect $36 million in payments to primary-care doctors who ostensibly were already providing the care measured by the metric! $36 million that will have to come from somewhere elsehospitals, specialists, emergency rooms, surgeons.
Many understand the potential benefit of actually documenting that the care was provided. There is some sense that, depsite physician claims that they are already providing these services, that having to document that the services were provided will correct the bad behavior of physicians who really aren't providing the care (and therefore lying about it) and financially motivating more physicians to provide more data. Does the provision of data correlate with better care?
Steven KmuchaTo submit a letter to the Modern Physician Reader Blog, click here. Please include your name, title, company and hometown.