Medical Ethics Advisor – November 1, 2008
November 1, 2008
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P4P and physician judgment: Is there an ethical conflict?
Just as in certain consumer-driven businesses, the mantra was always "the customer is always right," in health care, the mantra at least the one attributed to physician attitudes and principles historically has been "the patients' needs come first." -
Bridges to Excellence CEO responds to P4P and ethics
Bridges to Excellence (BTE) CEO Francois de Brantes doesn't mince words when asked if he thinks there is an ethical conflict between the payment model of pay-for-performance essentially giving physicians additional payments for good performance based on certain quality measures and ethical decision-making by physicians. -
P4P at work with CMS 'never' events policy
In addition to physician ethics, the pay-for-performance concept also has been instituted by the Centers for Medicare & Medicaid (CMS) related to its statement that its policy will be to no longer pay for any on a list of so-called "never" events that occur at hospitals. The policy became effective Oct. 1. -
Core competencies for ethics consultations
Decision making in health care ethics consultation cases often involves difficult, complex issues and mediating differences of opinion. -
Eli Lilly, Merck to disclose payments to physicians
More and more questionable ties between physicians and drug companies are being uncovered in an investigation into such financial relationships conducted by Sen. Charles Grassley (R-IA). -
Court order raises ethical questions about research
When a judge recently ordered a pharmaceutical company to provide an investigational drug to a teenage boy who had not met the enrollment criteria for a phase II trial, the IRB world took note.