Cognitive Dissonance and HHS’ Position on Medicare Physician Data

DataAnalysis

Just as it launches a new program aimed at allowing local organization access to physician profiling information, HHS has blocked access to that same information by a national consumer group.

Here’s a really classical example of a federal regulatory agency holding fast to two opposing ideas at the same time. I wonder what it means?

Last week HHS posted  an interesting notice announcing a new program that recognizes 14 (presumably) forward-thinking health care coalitions of providers, employers, insurers and consumers, which it refers to Chartered Value Exchanges, or CVEs. (Who comes up with these names?!)

HHS promises that, by summer of 2008, it will provide “access to information from Medicare that gauges the quality of care physicians provide to patients.” This “physician-group level performance information…can be combined with similar private-sector data to produce a comprehensive consumer guide on the quality of care available” in each community. Cool! Sign me up!

Only one problem. This program seemingly contradicts HHS’s position,  taken at the urging of the AMA, in its appeal of a lawsuit finding that HHS should release data on Medicare physician performance to the consumer advocacy group Consumers’ Checkbook. In that case, HHS used the pretzel logic that, even though they are Medicare vendors being paid with public dollars and that the same principle applies to no other health care group, doctors have a right to privacy.

So here’s a question. Anybody got a clue what’s going on here? What’s HHS goal? Why are they fighting so hard to hold back the data on one front and so willing to make it publicly available on another?

Advertisements

About Brian Klepper

Brian Klepper is a health care analyst, commentator and a Principal in Worksite Health Advisors.
This entry was posted in Uncategorized. Bookmark the permalink.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s