Atlanta Cheating Scandal

If you have been reading this blog over the years then you would have known that I have compared the No Child Left Behind crusade in teaching to the Pay-for-Performance one going on in medicine.  Basically, paying professionals based on the testing results of their students or the chol/BP/glucose results of the their patients can lead to gaming the system.    For the former, please check out this article on much cheating was going on in Atlanta.  Basically what they were saying to themselves was, “This rating of performance is such a joke we are going to cheat the system in our favor” and they did.   For healthcare, expect doctors to the same thing.  It is as easy as changing the blood pressures that your medical assistant took or, even better, firing those patients that make your scores look bad.   Trust me, it’s coming and that is no April Fool’s Day joke.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  2 comments for “Atlanta Cheating Scandal

  1. Kurt
    April 3, 2013 at 2:00 pm

    I ranted about this before, until people are held financially accountable for their shitty habits, not a damned thing is going to change in this country. Doug had said before, “It’s easy to spend somebody else’s money.”

    Craig, I sympathize. How the AAFP was able to gloat as to how they were able to fill all the residency positions is beyond me. All those gullible residents are going to have the rude awakening that they are replaceable by NP’s when they graduate. I know because I have one who is so good that she really doesn’t need me except to sign paperwork and scripts for ritalin. Take away hospital work from FP’s and they are doing nothing more than what an NP can do.
    They already can be independent in 17 states.

    There a plenty of patients out there that love their NP’s because specifically, they “ARE NOT” doctors. They only tolerate me in that the NP doesn’t do hospital practice.

  2. Craig
    April 3, 2013 at 1:49 pm

    I am now reimbursed by who got their mammogram,colonoscopy, Hgb A1c test and cholesterol, etc. So as you have said, I’ve had a few patients who won’t do any tests at all. Well, that penalizes me repeatedly for just one patient. And they never come in, so revenue is not zero, it’s actually negative. I have asked 3 patients to find healthcare elsewhere, since I am obviously not providing it. Doug, you are correct. What can you do but fire the patient?

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