Pay Per PerformanceCreated by:
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?