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First, do no harm. Second, turn a profit.

D B Moskowitz

    The Journal of American Health Care
    |August 6, 1994
    PubMed
    Summary
    This summary is machine-generated.

    Physicians are now evaluated on their ability to increase profits, a practice known as economic credentialing. This shift from patient care to financial performance is causing conflict within the medical community.

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    Area of Science:

    • Healthcare Economics
    • Medical Practice Management

    Background:

    • Traditionally, physician quality was assessed by clinical skills and patient rapport.
    • Current healthcare trends emphasize financial performance and profitability in physician evaluation.

    Purpose of the Study:

    • To examine the emerging practice of economic credentialing in healthcare.
    • To understand the implications of prioritizing financial metrics in physician assessment.

    Main Methods:

    • Analysis of current hospital and health plan policies regarding physician credentialing.
    • Review of legal challenges initiated by medical groups against economic credentialing practices.

    Main Results:

    • Hospitals and health plans are increasingly implementing economic credentialing.

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  • Medical groups are actively opposing this trend through litigation.
  • Conclusions:

    • The focus on economic credentialing represents a significant shift in physician evaluation criteria.
    • The practice is generating substantial controversy and legal disputes within the medical field.