I am always impressed by good quality management and amazed that there isn't more of it. Physicians have decided to sue a Massachusetts insurance oversight agency over physician rankings.
The agency freely admits their ratings are faulty, but docs should just suck it up because it's a step in the right direction. However, despite the flaws, patients are charged different copays according to the rankings. In other words, although they know they don't really know what they're measuring, if they are measuring the right thing and if they can effectively differentiate between providers of different quality, they'll just use their system anyway and work on it later.
How about a little transparency here? Not to mention a little common sense? Perhaps it would have been a little more acceptable to run the system for a couple of years and refine it until it could be reasonably used to make decisions that involve money. No wonder doctors fear the concept of quality in health care. It appears to be a blunt instrument designed to further bludgeon a profession that has suffered much over the last two or three decades.
I went back to school because I recognized that I did not have the management skills I needed to succeed without upgrading. Too bad the managers already in place have not realized the same.