I agree we need to talk outside the AC community about P4P and the gradual failure of the medicare price control based reimbursement model in medicine. I would encourage us to start by posting to outside blogs with more readership, such as Wall Street Journal Health Blog
http://blogs.wsj.com/healthProblem is, just like with battling legislation like the SGR or 10.6% cut, physicians just don't have inclination or time to insert themselves into this debate. Until more do, we won't make needed improvements.
I plan to check out alternative models for our practice, such as those promoted by these two sites:
http://www.simpd.org/https://idealhealth.wikispaces.com/Maybe I should make it to the IMP camp that Paul is attending.
http://impmo.org/register.asp Not too far from Michigan, unlike Branson distance issue that joseph2 and I share.
I'm happy that Brian turned me on to the Yahoo forum (
http://health.groups.yahoo.com/group/Practiceimprovement1/ ) with one of his earlier posts and these discussions really have me thinking that change has to start practice by practice rather than through a major system overhaul. Makes you realize that there are many others thinking along the same line, even though we are not "unionized" like Paul is suggesting.
