MedPage Today January 4, 2025
— Patients need space to raise real issues or concerns
The patient’s check-up begins, as most now do, by sitting down and typing my username and password into a computer. After a kind greeting, I launch into the growing checklist of tasks called quality measures, which now define quality in the eyes of insurance companies who decide on how much doctors get paid for our clinical services. I carefully review the patient’s deficiencies — perhaps a missed vaccine, depression screening, a few routine blood tests. For many people, this list may include many more items. As of 2020, CMS had implemented 788 quality measures in various programs.
The long list of queries makes me begin to imagine myself as a...
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