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First-Ever Database of Doctor Information and Ratings Set to be Released

The government announced Monday Medicare will sell access to its extensive database of claims as part of President Obama's healthcare plan.

December 05, 2011|Joanna Small and Joel Girdner | Reporter and Photographer

HARTVILLE, Mo. —   It's a first- more facts about your doctor than ever before.

  Monday the government announced Medicare will sell access to its extensive claims database.

 

  Public access to the database is part of President Obama's healthcare plan.

  Employers, insurance companies, consumer groups and other qualified organizations can purchase the information for $40,000.  It's designed to help you get better care.

  "He's the baby.  he's the most spoiled dachsund in the world."

  And some times Catherine Marks truly believes her dachsund Oscar, her boyfriend James, and their cats are the only ones who understand her pain.

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  "They always keep you happy.  They know when you're hurting, having a bad day."

  Catherine says most days are bad.  She was diagnosed with Parkinson's disease three years ago while she was living in Michigan.

 

  "I get to where I'm stiff all the time; it's almost like you're 90 years old all of a sudden," says Catherine.

  A Missouri doctor won't confirm her diagnosis.  Catherine says she needs access to better care.

  "I'm so frustrated.  There have been so many times that I just want to give up."

  Medicare may have a solution- never before granted access to its extensive claims database including physician ratings.

 

  "Overall it's a good thing," says Dr. Dan Sontheimer, Chief Medical Officer at Cox Hospital.

  But experts in the medical field say it's not quite that simple.

  "There will be some risk to physicians," says Sontheimer.

  That's because the entities that buy the data have to interpret it using what's called "risk adjustment."

  "If I'm highly skilled at my practice and everyone sends the sickest people to me I will overall have a higher death rate," explains Sontheimer.

  Then there are the limitations.  Medicare is mainly for Americans 65 and older.

  "If you're interested in cancer care for kids or obstetric care for women, where to go to deliver your baby, high risk pregnancy, Medicare data won't tell you anything about that," adds Bob Lunn, CEO of The Health Commission.

  But Catherine has early on-set Parkinson's.

 

  "My head goes like this non-stop," Catherine demonstrates, shaking her head from left to right.

  Odds are she could find a doctor in the database, and maybe some support outside the family.

  "All I'm asking for is medical help, which I should be able to get."

  Everyone will have access to the Medicare information, even if you're not on Medicare.

  But you'll have to go through a third party that purchases it, like non-profit "Consumer Reports".

 

  Experts say doctors who have a very small number of Medicare patients are at the greatest risk here.

  Their mortality rates could be severely inflated.

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