MedCity News’ Brandon Glenn breaks down the battle between insurance companies and physician groups over the use of doctors ratings on this week’s edition of Health Journal on ONN.
Physician rating programs are employed by a number of insurers as a means of assessing doctors’ performances – typically based on quality and cost – and then steering patients to doctors who are rated highly. The programs often place doctors in different categories designated by stars (four stars, three stars, etc.), or other means of categorization such as gold, silver and the like.
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Ohio’s Senate Bill 121 calls for state health insurers to follow a set of national standards developed by insurers and doctors, guidelines known as the patient charter, in structuring their physician rating programs.
The state’s largest physicians group, the Ohio State Medical Association, strongly supports the legislation. However, the state’s insurance group objects to the bill’s requirement that they also apply those national standards to internal programs such as pay-for-performance or medical home projects.