Article: I am Tier 1.(UNDER MY SKIN)(performance evaluation of physicians)(Column)

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The Massachusetts insurance commission has developed data to rate physicians by efficiency and quality. Two local insurers use these measures to rank doctors: the higher the tier, the lower the copay for patients. Earlier this year I got my report card.

I am Tier 1. Hear me roar.

Flushed with pride, I wrote the commission and insurers:

Dear Sirs:

Thank you for sending me my tier information. While I appreciate your endorsement and confidence, I hope you can help me understand your evaluation more fully so I can become an even better and more efficient doctor.

* Under Quality Measures, you ...

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