General

Pay Per Performance

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29 Sep 2016 - General
 

Have you ever encountered the term "pay per performance"? This is one of the advocacies of American Medical Association wherein health insurance compensations will depend on an objective evaluation of physician performance. The highly skilled ones have higher fees and will get a potential bonus compared to those with mid-low range set of skills. In the surgical world this is a big issue because there is an age-dependent decline in dexterity if a physician no longer performs a procedure. According to studies, a surgeon has to do at least 7 procedures a year in order to maintain his skill proficiency in a particular procedure. However, this might not be realistic for more senior physicians who are limiting their practice or those who are doing administrative work. As far as I know, "pay per performance" is not yet advocated by local health insurances in the Philippines. But I am already anticipating this since it is likely to happen because insurances tend to follow Western trends.

What is your opinion on this? Do you think this is fair to senior specialists?

Ronald Allan Ponteres Exactly that's why I think this is an issue. I hope that this professional compensation won't be adapted by our local insurance companies. As Francis mentioned, doctors are already underpaid and adding this scheme of financial renumeration will just complicate the situation. Although this has been practiced for more than a decade in Britain, and has been recently adapted by Western ...
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Francis NFA I really can’t tell because I’m still in residency, but from what I heard from friends who are already in private practice, insurance payments are actually demeaning to the profession. Mark Edmon Tan I agree with you on this one. There will always be a loophole in the “objective measurements” of performance, and with ...
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Ronald Allan Ponteres In the United States, "performance" is objectively measured by various recognized subspecialty societies. For example, for laparoscopic surgeons, they use a laparoscopic surgery simulator machine to test surgical competency skills. Amenable consultants undergo performance testing, wherein time, surgical accuracy and other parameters are objectively measured. It's not through n...
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Francis NFA Good one haha Marinelle Castro I think it is unfair for everybody. It is really difficult to determine a doctor's skill set objectively. Senior specialists will also be affected by such ruling because of less practice. It does not take into consideration the senior specialists invaluable mentorship to guide younger ...
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@Marinelle Castro: I hope these trends are not followed in other countries in the future. The senior professionals will be the ones who will be severely affected. However, I was wondering whether 'pay by performance' trend doesn't include the diagnostic skills. Diagnosing a disease correctly is as much important as the treatment. I think that diagnostic skills should be included in the performance parameter. If it a part of the assessment, then definitely senior professionals can hav...
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