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Physician Payment Data is Where the Action Is

Scott Mace, for HealthLeaders Media, April 22, 2014

In a world where consumers can spend five hours picking out their latest smartphone, and less than 20 minutes picking a physician, this kind of information will fundamentally change healthcare, Spradlin said.

"The AMA is right, in that there is a lot of context that's important to understand," Spradlin said. "As we get a little bit smarter, and the consumer population gets a little bit smarter about understanding and parsing a lot of this, we'll get better at correlating the quality measures in these cases.

"I also think we could see some unexpected attempts at driving some that, even here. When you look at claims data, you can't help but look at readmission rates. Are readmission rates potentially a strong signal of quality? I think for certain procedures, probably."

Code-a-Palooza visualization proposals are due on April 25. (Don't worry, the coding doesn't all have to be done by then.) As competitors and other healthcare luminaries assemble in Washington June 1–3 and I'll be there again to cover it—then the real fun begins.


Scott Mace is senior technology editor at HealthLeaders Media.
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1 comments on "Physician Payment Data is Where the Action Is"


James Davis (4/22/2014 at 2:27 PM)
The challenge for Code-a-Palooza entrants is not designing a program to deliver the CMS data in a consumer friendly format. It would be a relatively easy task to develop a Medicare Fees Online database or incorporate the data by integration into other solutions. But due to the license restrictions on CPT, there is no way to commercialize the project. The AMA does not allow per transaction licenses for CPT data, and the license agreement included in the downloaded material reinforces those restrictions. So while this can certainly be built, it will likely wind up being something offered by CMS, like the current CPT with RVS code search program. James B. Davis, President PMIC http://pmiconline.com P.S. PMIC tried to bring CPT into the public domain back in the early 2000s. Lookup PMIC vs AMA.