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Written by Patricia King
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Physician Ranking: Necessary tool for health care transparency, or scam on doctors and the public?
Over the last year, the once-esoteric topics of physician ranking and “high performance networks” have been fighting words for physicians, health insurers and the New York Attorney General. On the one hand, advocates of consumer-driven healthcare hope that when consumers have solid data comparing health care providers’ quality of care and cost effectiveness, they will make sound choices that will bring U.S. health care costs down. On the other hand, physician ranking systems built on inaccurate and incomplete data offer no benefit to consumers, and unfairly penalize physicians who are inappropriately placed in a lower tier.
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Written by Ardena L. Flippin, MD, MBA
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Last month's commentary on physician pay-for-performance generated some interest - and is related to an article in the month's JAMA, which has received a lot of attention. The issue of the May 14 2008 JAMA, "Comparison of Change in Quality of Care Between Safety-Net and Non-Safety-Net Hospitals", commented on the "smaller gains (of safety-net hospitals) in quality performance measures over 3 years (compared to non-safety-net hospitals.) I’m not surprised that pay-for-performance doesn’t necessarily improve quality at safety-net hospitals. When will we ever admit that throwing money at a systemic problem is not the answer? What a passé cop-out in the 21st century!
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Written by Ardena L. Flippin, MD, MBA
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The intent of Pay-for-Performance (P4P) seems to be payment to encourage certain behaviors. I think that the majority of physicians practice good medicine and have adapted to the behavioral demands of increased documentation of what we ordinarily do as medical caretakers. Is documenting services rendered documenting health?
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Written by Jeffrey R. Waggoner, MD
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Doctor John Gray made a rather large splash by suggesting that Men are from Mars. Women are from Venus. His book concerned relationships, but its theme—that there are profound differences between men and women—appears to hold true for other biologic arenas. There is increasing evidence that atherosclerosis (ASCVD) and coronary artery disease (CAD) in women is a much different phenomena than it is in men.
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Written by Ardena L. Flippin, MD, MBA
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Remember when the concept of urgent care clinics was called “Doc in the Box”? Well get ready for “Doc in the Big Box”.
Approximately 400 clinics already exist, and an additional 1500 will be up and running by the end of this year (Kevin B. O'Reilly, AMNews.
June 4, 2007 amednews.com). Wal-Mart will open 400 new retail clinics
by the year 2010 (Baltimore Business Journal, February 7, 2008).
Which do we anticipate: patients judiciously exercising their
consumer-directed healthcare options or will we see examples of
arbitrary decisions to obtain ”drive-by” healthcare?
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Physician Practice 
