Insurers’ ratings often aren’t accurate, doctors complain
The Dallas Morning News, February 14, 2008
Doctors and insurance companies have something new to fight over: physician rating systems. The major health plans have started rating doctors to show patients whether they're cost-efficient, and physicians complain that numbers don't tell the whole story. The insurers are scrutinizing bills submitted to them without talking to the doctor about the cases involved. Doctors also say they're downgraded when patients don't comply with orders or when an insurer makes a clerical error.