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(repeating same question from another board)

...rewards volume, not value...

And how do you determine value?

Doctor X/hospital Z only has 1% of there patients readmitted/bounce back after discharge, so they must be good. Meanwhile, Doctor A/Hospital C has a 10% bounce back rate, they must be horrible. But the first pair are treating highly motivated competitive athletes while the second pair is treating indigent, schizophrenic, alcoholics. Until you come up with an equitable way to compare apples and oranges, ratings are meaningless.

FWIW, my group has to report on 5 measures for each patient we have contact with to Medicare/Medicaid so the government can keep track if we are doing are job properly. Do these measures have any bearing on patient outcome? No. They are merely numbers that can be easily recorded, downloaded, and parsed to determine if we should be "punished" for reaching a success rate of 98% instead of 99.9%.

JLC
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