Saturday, January 12, 2013

NYC Hospitals Chart Move Quality-Based Compensation for Physicians

New York City Ties Doctors' Income To Quality Of Care by Anemona Hartocollis.  The New York Times.  January 11, 2013.

In negotiations with physicians, the administrators of New York City's Health and Hospitals Corporation which runs the nation' largest public health system hope to incorporate quality measures in doctors' paychecks.  Such a action would be in keeping with the broad national trend away from rewards for volume of medical services and more toward quality of service.  The article contains several  interesting observations about who such a system could be "gamed."  For example studies of quality- based systems have shown that while measured quality service improved, unmeasured quality service declined.

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