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."
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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.
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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.
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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).
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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.
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