Find out more →

Get unlimited access. Become a digital member!

Saturday, January 12, 2013

Merit pay for doctors

Posted By on Sat, Jan 12, 2013 at 6:47 AM

If it's good enough for teachers, why not for doctors?

Arkansas is moving toward a different scheme of reimbursing health care providers related to a continuum of care and positive results rather than a strict fee-for-service model.

But the NY Times reports that New York city is moving that idea even farther along:

In a bold experiment in performance pay, complaints from patients at New York City’s public hospitals and other measures of their care — like how long before they are discharged and how they fare afterward — will be reflected in doctors’ paychecks under a plan being negotiated by the physicians and their hospitals.

... And it is unclear whether performance incentives work in the medical world; studies of similar programs in other countries indicate that doctors learn to manipulate the system.

... The public hospital system has come up with 13 performance indicators. Among them are how well patients say their doctors communicate with them, how many patients with heart failure and pneumonia are readmitted within 30 days, how quickly emergency room patients go from triage to beds, whether doctors get to the operating room on time and how quickly patients are discharged.

Inevitably, the quality of patient a doctor treats might have some impact in the equation, seems like. If every child can achieve an arbitrary performance standard, every patient can get better, right?

Tags: ,

Favorite

Speaking of Health Care, doctor Pay

Comments (26)

Showing 1-26 of 26

Add a comment

 
Subscribe to this thread:
Showing 1-26 of 26

Add a comment

More by Max Brantley

  • Suspect identified in Texas shooting at Muhammad cartoon contest

    Dallas Morning News has comprehensive coverage on the shooting of two men outside a Muhammad cartoon contest held in a Garland, Texas, public school building. The FBI reportedly has confirmed that one of the men killed was Elton Simpson of Arizona, who'd previously been investigated for terrorism ties.
    • May 4, 2015
  • Piranha caught in Lake Bentonville; not to worry

    A piranha was caught last week in Lake Bentonville, KATV reports, but a state Game and Fish Commission spokesman says it's no cause for alarm.
    • May 4, 2015
  • More »

Most Shared

  • Clinton rules return

    As a professional matter, I've been halfway dreading Hillary Clinton's presidential candidacy. The 2016 Democratic nomination appears to be hers for the asking. Democrats enjoy a strong Electoral College advantage. And yet it's hard to imagine how she can overcome the unrelenting hostility of the Washington media clique.
  • Gene Lyons gets to the heart of 'Clinton Cash'

    Gene Lyons gets to the heart of the "Clinton cash" so-called scandal, a Whitewater-style investigation so far that has been long on innuendo but short on damning facts.
  • Bass Pro opens megastore in Memphis' Pyramid

    Brass Pro Shops opened a new megastore and hotel today in the former Pyramid arena in Memphis. Kat Robinson and Grav Weldon are providing photo coverage.
  • Asa's talk is cheap

    Asa Hutchinson seems so much nicer about his belief in legal discrimination. But the result is more dangerous. You can be falsely lulled, as the national press has been, into believing Hutchinson is a moderate.
  • Christian soldier

    When he announces next week that he is again running for president, Mike Huckabee will tap into one of the world's great traditions of political combat: religious fear.

Most Viewed

  • State Board of Education to hold special meeting tomorrow concerning LRSD waiver

    Something's up. This afternoon, the State Board of Education announced a special meeting at 2 p.m. tomorrow (Tuesday, May 5). The lone agenda item concerns a request for waiver of state law regarding the Little Rock School District
  • City steps up police presence in Centennial Park

    The Little Rock Police Department has assigned an extra patrol to the Centennial Park area after a complaint by a property owner got Mayor Mark Stodola's attention. Paul Dodds, who lives on West 17th Street and Park and whose company Urban Frontier LLC has fixed up 10 properties for sale and rent and owns several more, emailed Stodola, the city board of directors and the police chief on Sunday. Stodola today directed City Manager Bruce Moore to increase "directed patrols" in the park area and "have Entergy light this place up like it is daytime. With summer break upon us we need to stifle this activity before it gets worse."
  • Cotton's tactics on Iran bill backfire

    Sen. Tom Cotton's unforced error ends up sinking GOP strategy on Iran bill. Cotton apparently getting comfortable with the idea of being Ted Cruz 2.0.
  • The slow Monday open line and video

    Here's an open line.
  • An Arkie in Miami: Scottie Pippen real estate in headlines

    A Sunday morning open line from Miami Beach, along with a report on Scottie Pippen's difficulty in selling his Fort Lauderdale mansion.

Most Recent Comments

Blogroll

 

© 2015 Arkansas Times | 201 East Markham, Suite 200, Little Rock, AR 72201
Powered by Foundation