So there was a round table. You can get the transcript much later, but here’s the shorter and more biased version:
Shorter Sam Nussbaum, Chief Med officer, Wellpoint — it’s 6 fold different in different places. We’ve got to measure it and tell people about it, and we can fund the good stuff by cutting out the bad. If you damn doctors would only let us….
Shorter Jack Lewin, Calif Med Association — need the information first, before you go to incentives, but the CMA is way out in front of those recalcitrant other doctors from those backwards states
Shorter Suzzane DelBanco, Leapfrog — get me more efficiency! but reward improvements, but not with any more money
Michael Cannon, thinking man’s libertarian, Cato — need to get consumers to buy with their own dollars and everyone else will change by magic
Bob Margolis, CEO Healthcare Partners — socialism is good for provider groups internally…but if we do it all according to guidelines we’ll spend more money not less
Adams Dudley, UCSF — It’s very very complex, and you have to be very smart to figure it out
Shorter John Nelson, ObGYN from Utah and the AMA — you can’t measure being a good doc, as the idiots doing the measurement don’t understand what they’re measuring. Anyway this trend is just another one like managed care and HMOs. People will game the reporting, so lets be translucent only. Anyway I’d rather reform malpractice and eliminate disease ….you fools can discuss this all you like, but lets stop Medicare cutting docs fees any more