A broad coalition of leading physician groups, health insurers, consumer and
labor organizations, and employer associations have reached a major agreement on
physician-performance reporting.
The Patient Charter for Physician Performance Measurement, Reporting and
Tiering Programs creates a national set of principles to guide measuring and
reporting on physician performance, including third-party independent review of
plans’ physician-performance programs.
Groups endorsing the charter include the American Medical Association, the
American Academy of Family Physicians, American College of Physicians, AARP,
America’s Health Insurance Plans, the Leapfrog Group, the AFL-CIO, the National
Business Coalition on Health and major insurers Aetna, Cigna, UnitedHealth Group
and WellPoint.
“We believe this builds on the critical New York state agreements between the
state attorney general and the health plans,” said Nancy Nielsen,
president-elect of the American Medical Association.
The charter calls on health plans to develop consistent, agreed-upon
performance measures on cost and quality that are meaningful for consumers;
adopt national standards endorsed by the National Quality Forum; use transparent
methodology in creating their programs; and give physicians an opportunity to
participate and appeal their scores.
Filed by Modern Healthcare, a sister publication of Workforce Management. To
comment, e-mail editors@workforce.com.
= Member Only
