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AMA Will Oppose Any P4P That Doesn't Meet Standards
And that includes proposals now before Congress


Pay-For-Performance (P4P) anxiety dominated the American Medical Association's House of Delegates meeting June 18-22 in Chicago.

The Delegates voted for a resolution stating that the AMA won't support any P4P program that doesn't meet the AMA's P4P principles. The updated P4P principles now state that:

* payors should pilot-test any P4P program before rolling it out;
* physicians shouldn't suffer for factors beyond their control; and
* physicians from relevant specialties should have input into any P4P program.

Also, the AMA argues that physician participation in P4P programs should be voluntary, and physicians shouldn't be punished for refusing to take part in them. And P4P programs should involve measures across many specialties, so physicians don't lose out because the measures only target other specialties' outcomes.

Most of all, the AMA resolution calls for P4P programs to focus on improving patient care instead of saving money. "Fair and ethical pay-for-performance programs are patient-centered and assess physician performance with evidence-based measures," said AMA Secretary John Armstrong.

The complete AMA principles are online here.