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IOM won’t back geographically based value index
Modern Healthcare

Congress should not adopt a geographically based value index for Medicare because healthcare decisions are not made at the regional level, but rather at the physician or organizational level, an Institute of Medicine committee concluded in a report released Wednesday. The findings in the 178-page study reiterate the committee’s preliminary observations in an interim report this year: Because individual physician performance varies, an index that is based on regions is not likely to encourage more efficient behavior among providers and is unlikely to improve the overall value of care.