Using Quality Against You


The new quality indicators are about to get insane and it makes me so happy they I will a part of it.  That being said, the government has done one thing right.

A provision in a House-passed bill to repeal the sustainable growth rate “would provide” physicians “new protections against medical malpractice lawsuits.” The measure, which passed with bipartisan support, “requires the government to measure the quality of care that doctors provide and rate their performance on a scale of zero to 100.” It protects physicians “by stipulating that the quality-of-care standards used in federal health programs — Medicare, Medicaid and the Affordable Care Act — cannot be used in malpractice cases.” AMA President Robert M. Wah, MD, “said that federal guidelines and quality criteria ‘should not be exploited to invent new legal actions against physicians.’”

How sad is the fact that they already saw the malpractice lawyers licking their chops over this quality data?  In fact, it worried them so much that they needed to pass a law to protect doctors from them.  Well, while we are on it, how about laws protecting doctors from insurance companies rating doctors lower under the guise of quality when it really is about cost?  This data can be manipulated and exploited in so many ways that it is scary.  And the worst thing?  It is has NEVER been proven to really benefit patients.

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 “Using Quality Against You

  1. Perry
    April 1, 2015 at 12:09 pm

    Max Baucus, the senator from Wyoming( I believe) originally intended for malpractice reform to be written in to the ACA. The Democrat’s tight relationship with the ATLA nixed that plan (especially Harry Reid).
    While it remains to be seen how these quality measures will work, at least they are protecting docs who follow the guidelines.
    See this in Medscape:

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