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US doctors’ groups criticise insurance companies’ ratings

BMJ 2010; 341 doi: https://doi.org/10.1136/bmj.c4168 (Published 04 August 2010) Cite this as: BMJ 2010;341:c4168
  1. Janice Hopkins Tanne
  1. 1New York

    The American Medical Association, together with almost all US state medical societies, has written to major US health insurance companies criticising their methods for rating doctors. They say the ratings lack transparency and are inaccurate.

    The medical organisations sent a letter to 47 of the largest US health insurance companies on 16 July saying that their ratings of doctors were “opaque” and “inaccurate” and too often based on cost rather than quality of care provided (www.ama-assn.org/ama1/pub/upload/mm/368/rand-letter.pdf).

    They have called on insurers to submit their physician cost profiling programmes for re-evaluation and external review “by unbiased, qualified experts” to “improve quality …

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