Whether third-party payers reimburse for remote patient services, Mercy chose to invest in this program to prepare for the continual shift to risk-based contracts, that is, when a health system is rewarded or penalized based on cost savings and patient health outcomes.
Pharmacists are forced to act more like salesmen than medical professionals, he said, because they are rewarded or penalized based on whether they can persuade doctors to substitute a cheaper drug for the one that was initially prescribed.
People are often penalized based on how they learn, not on what they know, writes Peter Smith, M.A.T.'70, Ed.D.'83, in his new book, Free-Range Learning.
Doctors and hospitals here are obsessed with metrics, not least because under the health law, they may be rewarded or penalized based on their performance.
But standardized assessments are misused when teachers are fired, schools are closed and students are penalized based on a single set of scores.
Federal officials have not specified the criminal charges in several cases, and Gelernt said some parents appear to be getting penalized based on prior immigration violations or "flimsy allegations" that did not result in convictions.
Arguably, this was as much a response to harsh drug laws that penalized based on weight as it was an effort to give the pot more of a kick.
Adams, the head of the pardons office under Bush, said applicants were not penalized based on race.
As to any conflict of interest that could taint his analyses, Urdan told me that there was a Chinese Wall at Wells Fargo to prevent the bank's stock ownership from influencing its analyses, and that he was not compensated or penalized based on his assessments of companies, like Corinthian, in which Wells had an investment.
Rewarding and penalizing leaders based on outcomes overestimates how much variance people actually control.
