P4P is the next greatest scam created by the insurance industry to figure on how to pay us less, not more. Sure, they lure us in saying they won't cut our reimbursement but they'll pay us more money if we meet certain "quality standards."

I will guarantee this is the hook to get us in. Who are they kidding? Hello? They've been cutting reimbursements EVERY YEAR.

So P4P will turn into a way to desparately cling to declining reimbursements.

Heck Medicare will cut us by just over 10% effective this July 1st, unless Congress intervenes again. Yet P4P in Medicare earns us only 1.5% increase. So we only lose 8.5%, instead of 10%. Gee, that math makes a lot of sense to me <<SARCASM>>.

Some of the private insurers we can reasonably meet the reporting requirements of their plans. Medicare is ridiculous however. The coding requirements essentially demand that we take a course in their new codes to report our "quality measures."

P4P will hasten the fall of the insurance industry.....let's see how this plays out.


Adam Lauer, DO (solo FP)
Twin City Family Medicine
Brewer, ME