Basically what he had to say was that the rank and file docs do not seem to be getting the message and more forceful "educational" methods need be employed.
Such as :
"...hard choices and penalties must go beyond training the next generation" and
" ABIM could require candidates to achieve a perfect score on questions related to costs and redundant care as a requirement for admission to secure exams for initial certification or MOC."
Yes, the former CEO of ABIM and ABIMF is really saying that candidates for maintenance of certification (MOC )would have to take a pre-test of Choosing Wisely type material (and not get any wrong answers) before they could even take the certification exam.
" CMS, which has the ultimate negotiating position in the form of reimbursement for Medicare services, could only accept negotiated bundled charges. It could also refuse payment for non-compliance with the Choosing Wisely recommendations."
So if you do not comply with our "recommendations" CMS should not reimburse.
Good grief, it sounds like Dr. Benson thinks the ABIMF Choosing Wisely wisdom should basically be determinative in regard to what sorts of health care we all should and should not have. The adjectives grandiose and hubristic seem to mild to characterize these proposals.I wonder what non-internists physicians think about a small group of internists who believe they should be in charge of so much,or for that matter internists actually in practice.
The Choosing Wisely campaign is spearheaded by the ABIMF which it seems to me to be basically the folks at ABIM. The two legal entities have the same CEO and President. See here for the IRS form 990 for 2011 for ABIMF The foundation at that time had net assets of $ 68,871,66. Its stated goals are " to catalyze improvements in health care by advancing medical professionalism: In regard to professionalism as elucidated in the Physician Charter the foundation's website states the following: :
"The fundamental principles of the Physician Charter are the primacy of patient welfare, patient autonomy and social justice. The Charter also articulates professional commitments of physicians and health care professionals, including:
- Improving access to high-quality health care,
- Advocating for a just and cost-effective distribution of finite resources, and
- Maintaining trust by managing conflicts of interest."