Physician Tiering in Massachusetts

In July 2006, the Massachusetts Group Insurance Commission,
the agency that buys health insurance for all Massachusetts state employees,
launched the Clinical Performance Improvement Initiative.

This project compiles information on how individual physicians score against various cost and quality standards, then assigns lower co-pays to physicians who score well against the standards.

The program has been controversial since the start. The Mass. Medical Society has have had substantial concerns about the accuracy, relevance and timeliness of the data, and had real worries about whether it would create unintended consequences, such as driving a wedge between patients and their access to care, at precisely the moment when Massachusetts is trying to improve patients’ access to care.

In this podcast, MMS President Dale Magee, MD, discusses the GIC program, and what the MMS has been doing to ensure that it supports the delivery of good health care.

Listen to the podcast (Length 9:42) (This will open your computer’s default media player in a new window)

Download from iTunes

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