Pay-for-Performance and Accountability

  1. John W. Rowe, MD
  1. From Columbia University, New York, NY 10032.

    IN RESPONSE:

    In my paper, I indicated that the recertification databases developed by certifying boards may be of limited use for pay-for-performance programs “some certification programs measure performance at 10-year intervals.” I appreciate Dr. Cassel's note that the ABIM's MOC program affords physicians the opportunity to assess their clinical performance regularly throughout a 10-year recertification period. If the recent trend for health plans to recognize these assessments in their reward programs spreads more widely and many more physicians participate, my skepticism in …

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