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No more free lunch for doctors

I’ve seen a lot of comments on the web about doctors getting free lunches from pharmaceutical companies as an explanation for why we hand out so many prescriptions. I don’t actually know anyone in my group of 30 or so doctors who sees drug reps anymore. The programming by we are influenced these days is much harder for our patients to see—even reporters seem not to know to write about it. It’s called “Pay for Performance,” or P4P.

P4P is exactly what it sounds like it is: Insurance companies pay us more if we write more prescriptions and order more tests. (more…)

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