If doctors are rated, then patients must promise to follow instructions

LETTER — Posted April 11, 2005

Print  |   Email  |   Respond  |   Reprints  |   Like Facebook  |   Share Twitter  |   Tweet Linkedin

Regarding "Tiered physician network pits organized medicine vs. United" (Article, March 7): It will be an uphill battle to fight insurers who rate doctors on the basis of quality as a subterfuge for economic profiling if we don't think outside the box. Under this system, should doctors ask patients to sign a formal contract to follow instructions for follow-up, consultations, testing, etc., or face dismissal from our practice?

Perhaps the day will come when patients' "credentials" are rated and reviewed before a doctor will accept them. It's sad to say, but the sickest patients, along with the most noncompliant ones, might find it hard to get care in a system set up to save the insurer and the patient a buck. Now is a good time for doctors to consider this option to send a message to insurers and patients alike rather than wait to be abused further by the system.

Rosario Romano, MD, Port Jefferson Station, N.Y.

Note: This item originally appeared at http://www.ama-assn.org/amednews/2005/04/11/edlt0411.htm.

Back to top



Read story

Confronting bias against obese patients

Medical educators are starting to raise awareness about how weight-related stigma can impair patient-physician communication and the treatment of obesity. Read story

Read story


American Medical News is ceasing publication after 55 years of serving physicians by keeping them informed of their rapidly changing profession. Read story

Read story

Policing medical practice employees after work

Doctors can try to regulate staff actions outside the office, but they must watch what they try to stamp out and how they do it. Read story

Read story

Diabetes prevention: Set on a course for lifestyle change

The YMCA's evidence-based program is helping prediabetic patients eat right, get active and lose weight. Read story

Read story

Medicaid's muddled preventive care picture

The health system reform law promises no-cost coverage of a lengthy list of screenings and other prevention services, but some beneficiaries still might miss out. Read story

Read story

How to get tax breaks for your medical practice

Federal, state and local governments offer doctors incentives because practices are recognized as economic engines. But physicians must know how and where to find them. Read story

Read story

Advance pay ACOs: A down payment on Medicare's future

Accountable care organizations that pay doctors up-front bring practice improvements, but it's unclear yet if program actuaries will see a return on investment. Read story

Read story

Physician liability: Your team, your legal risk

When health care team members drop the ball, it's often doctors who end up in court. How can physicians improve such care and avoid risks? Read story

  • Stay informed
  • Twitter
  • Facebook
  • RSS
  • LinkedIn