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January 21, 1998

Physicians' Ratings of Health Plans

Author Affiliations

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(3):193-194. doi:10.1001/jama.279.3.193

To the Editor.—The central premise of the article by Dr Borowsky and colleagues1 —that physicians have a unique and valuable window into the quality of health plan performance—is compelling. Although the physician viewpoint has all but been forgotten in public debate over plan performance measurement, the authors have made a valuable initial empirical attempt to correct this omission. For example, it is important to recognize that physicians were highly critical of mental health care in all 3 evaluated plans and that this presents an immediate opportunity for improvement. However, the authors overreach their data when applying these measures to assign report card rankings to these plans.

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