Insurers Love P4P

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Head over to the American Medical News and see the article Insurers have big plans for value-based doctor payments.   But before you do, check out how P4P or pay-for-pefromance is now being called value-based doctor payments.   Is the term quality losing steam?  Why don’t they use the term I created, which is physician profiling?

Anyway, here are some highlights:

  • A recent survey found that 82% of health plans consider the development of new payment models a “major priority” for their organizations.
  • Health insurers generally are making the biggest effort to convert from fee-for-service to value-based payments in their employer group plans, with 75% saying they were doing so.
  • However, 75% of plans said they will automate information exchange with doctors in the next 12 to 18 months so they can begin to implement or expand value-based payment models.

Now, why do you think insurers are so quick to go to “value based” payments?   Is it really “a way to rein in costs” as the article says?  How could it be when payments to doctors aren’t the be big reason for high healthcare costs?  Salaries have been stagnant for 40 years.  So where does most of the money that PEOPLE PAY for their health insurance go to?   It’s….uhhhh…wait I minute…..I know..oh yeah….to the fuc&ing the health insurers!

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] 

  1 comment for “Insurers Love P4P

  1. DrHockey
    June 19, 2013 at 10:43 am

    My first car, as a second-year medical student, had this “safety feature” — it would not start on bad weather days.
    “Value-based” payment, and “Pay for Performance” have positive connotations. The more accurate “physician profiling” has a negative connotation.

    Sorry, Doug, you lose on this one.

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