DocM,
What about the doc who takes care of the difficult patients? At least 50% of you will by the numbers have to be below some sort of a bell curve too. But my biggest issue is that at some point let's just say you guys do actually tighten things up and outcomes do improve, at what point do you all become monkeys chasing your own tails for ever deminishing rewards and improvements in the results. Once started these guys will just continue to tighten the noose until you are dead for they are a for profit driven entity that has no regard for you, your practice or the actual outcomes in their patients lives and health, oh your patients, their "members".
Using an EMR as the tool it could one day be is one thing, improving outcomes is a great and worthy goal, but to have 50 different carriers giving you 50 different policies and sets of goals to monitor and report on is just insane. And I as an American citizen still retain my right to not be a data point in some on going nationwide research project. I want to and insist in my right to informed consent and to opt out. No less the right of any provider to be able to safely and without penalty to opt out of such studies too.
"Wile "E" we need to fight this wascally wabbit, ha, ha, ha, ha, ha...."
http://looneytunes.warnerbros.com/web/toons/toons.jspwww.looneytunes.com
