<?xml version="1.0" encoding="UTF-8"?><rss version="2.0" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:atom="http://www.w3.org/2005/Atom" xmlns:sy="http://purl.org/rss/1.0/modules/syndication/" > <channel><title>Comments on: P4P: You need bigger carrots</title> <atom:link href="http://www.kevinmd.com/blog/2007/06/p4p-you-need-bigger-carrots.html/feed" rel="self" type="application/rss+xml" /><link>http://www.kevinmd.com/blog/2007/06/p4p-you-need-bigger-carrots.html</link> <description></description> <lastBuildDate>Tue, 14 Feb 2012 17:18:00 +0000</lastBuildDate> <sy:updatePeriod>hourly</sy:updatePeriod> <sy:updateFrequency>1</sy:updateFrequency> <xhtml:meta xmlns:xhtml="http://www.w3.org/1999/xhtml" name="robots" content="noindex" /> <item><title>By: Happyman</title><link>http://www.kevinmd.com/blog/2007/06/p4p-you-need-bigger-carrots.html#comment-75917</link> <dc:creator>Happyman</dc:creator> <pubDate>Thu, 07 Jun 2007 13:11:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/p4p-you-need-bigger-carrots.html#comment-75917</guid> <description>yes, you are right, &quot;bonus&quot; was perhaps the wrong term.</description> <content:encoded><![CDATA[<p>yes, you are right, &#8220;bonus&#8221; was perhaps the wrong term.</p> ]]></content:encoded> </item> <item><title>By: Anonymous</title><link>http://www.kevinmd.com/blog/2007/06/p4p-you-need-bigger-carrots.html#comment-75900</link> <dc:creator>Anonymous</dc:creator> <pubDate>Thu, 07 Jun 2007 00:26:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/p4p-you-need-bigger-carrots.html#comment-75900</guid> <description>Happy,&lt;br/&gt;&lt;br/&gt;How do you even come close to 10$/hr bonus???  By my math you would have to be billing medicare at a rate of 667$/hr to be getting a 10$/hr raise.  That would be quite impressive even for the most fraudulent clinic.  I guess you are talking about the rate you would get paid to do the extra paperwork.</description> <content:encoded><![CDATA[<p>Happy,</p><p>How do you even come close to 10$/hr bonus???  By my math you would have to be billing medicare at a rate of 667$/hr to be getting a 10$/hr raise.  That would be quite impressive even for the most fraudulent clinic.  I guess you are talking about the rate you would get paid to do the extra paperwork.</p> ]]></content:encoded> </item> <item><title>By: Happyman</title><link>http://www.kevinmd.com/blog/2007/06/p4p-you-need-bigger-carrots.html#comment-75898</link> <dc:creator>Happyman</dc:creator> <pubDate>Wed, 06 Jun 2007 22:46:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/p4p-you-need-bigger-carrots.html#comment-75898</guid> <description>hey angry, i&#039;d have been a ceo if i could&#039;ve gotten through all the fluffy touchy-feely group activities making &amp; selling widgets in business school.&lt;br/&gt;&lt;br/&gt;instead i did med school &amp; residency.&lt;br/&gt;&lt;br/&gt;your point about the multiple PCP&#039;s is well-taken. if a true p4p reporting project is to succeed it&#039;ll definitely need the patient to openly identify their primary (which itself is perhaps problematic)</description> <content:encoded><![CDATA[<p>hey angry, i&#8217;d have been a ceo if i could&#8217;ve gotten through all the fluffy touchy-feely group activities making &#038; selling widgets in business school.</p><p>instead i did med school &#038; residency.</p><p>your point about the multiple PCP&#8217;s is well-taken. if a true p4p reporting project is to succeed it&#8217;ll definitely need the patient to openly identify their primary (which itself is perhaps problematic)</p> ]]></content:encoded> </item> <item><title>By: Mike</title><link>http://www.kevinmd.com/blog/2007/06/p4p-you-need-bigger-carrots.html#comment-75893</link> <dc:creator>Mike</dc:creator> <pubDate>Wed, 06 Jun 2007 21:20:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/p4p-you-need-bigger-carrots.html#comment-75893</guid> <description>Hey Unhappyman, you should have been a CEO then.&lt;br/&gt;&lt;br/&gt;Even if it was 10,000K, it&#039;s STILL not enough. For one thing, who will get the money??? Most likely, it wont be the treating physician, since each patient&#039;s got like FIVE PCP&#039;s.&lt;br/&gt;&lt;br/&gt;Also, does adding an ACE I in house REALLY improve short term mortality? I might precipitate renal failure and extend the hospitalization (true story).</description> <content:encoded><![CDATA[<p>Hey Unhappyman, you should have been a CEO then.</p><p>Even if it was 10,000K, it&#8217;s STILL not enough. For one thing, who will get the money??? Most likely, it wont be the treating physician, since each patient&#8217;s got like FIVE PCP&#8217;s.</p><p>Also, does adding an ACE I in house REALLY improve short term mortality? I might precipitate renal failure and extend the hospitalization (true story).</p> ]]></content:encoded> </item> <item><title>By: Happyman</title><link>http://www.kevinmd.com/blog/2007/06/p4p-you-need-bigger-carrots.html#comment-75884</link> <dc:creator>Happyman</dc:creator> <pubDate>Wed, 06 Jun 2007 17:59:00 +0000</pubDate> <guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/06/p4p-you-need-bigger-carrots.html#comment-75884</guid> <description>like medicare&#039;s 1.5% bonus offering for participating in a p4p reporting pilot project.&lt;br/&gt;&lt;br/&gt;that&#039;s like $2000/year for a typical primary care doctor, for ADDITIONAL work which will amount to perhaps 4 hrs/week.  That comes out to a &quot;bonus&quot; of $10 per hour!&lt;br/&gt;&lt;br/&gt;meanwhile private insurers are sending their nonperforming CEO&#039;s home with pay &amp; severance packages in the BILLIONS!</description> <content:encoded><![CDATA[<p>like medicare&#8217;s 1.5% bonus offering for participating in a p4p reporting pilot project.</p><p>that&#8217;s like $2000/year for a typical primary care doctor, for ADDITIONAL work which will amount to perhaps 4 hrs/week.  That comes out to a &#8220;bonus&#8221; of $10 per hour!</p><p>meanwhile private insurers are sending their nonperforming CEO&#8217;s home with pay &#038; severance packages in the BILLIONS!</p> ]]></content:encoded> </item> </channel> </rss>
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