The physicians groups say the plan structure should:
- Reward physicians for savings
- Enhance prospects for new models
- Tie incentives to a physician's own actions rather than the actions of others or factors beyond their influence
- Harmonize measures and alter incentives in current law
- Encourage collaborative efforts with primary and specialists while preserving patient choice
- Allow specialty and state society initiatives to receive deeming authority
- Recognize the central role of the profession in determining and measuring quality
- Provide exemptions and alternative pathways for physicians in practice situations where recovering investments to achieve reform in care delivery would constitute a hardship.
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.