Doctor-Ranking Programs


In 2007, the Attorney General commenced an industry-wide investigation into insurers' doctor-ranking programs. Doctor ranking programs are a rapidly growing practice within the Healthcare industry. Major insurers nationwide either operate or are in the process of developing these programs. While these programs are often marketed to consumers as providing guidance on quality care, insurers have a financial incentive to steer consumers to the cheapest, and not necessarily the best, doctors. The Attorney General investigated deceptive patient steering that was conducted under the guise of these ranking programs. The OAG has settled with eight health insurance companies so far, instituting model reforms to ensure that any ranking programs are based on accurate and transparent measure-and monitored for compliance.

Reports of the Ratings Examiner ("Rx"):

The ABIM Foundation Patient Charter: