The Maintenance of Certification (MOC) program is a money-making scheme concocted by a group of non-practicing physicians who are paying themselves high salaries and living large on the backs of working doctors. This is a corrupt system, and ethically wrong, despite the American Board of Medical Specialties (ABMS) and the American Board of Internal Medicine (ABIM) putting out press releases about the “benefits” of MOC, and the importance of having “quality” physicians.
Unfortunately, this program has now been codified into law as part of the sustainable growth rate “SGR Fix” legislation. This is crony capitalism at its worst. There are major conflicts of interest here, and the ABMS and ABIM are colluding to extort money from practicing physicians to finance their high salaries.
And exactly what are these high salaries for? These doctors do not see patients. They sit in meetings and make themselves feel important by telling other physicians what they are doing wrong.
Most working physicians are too busy to have noticed what has been happening behind their backs, but when they do see the full consequences of the current legislation there will be an uprising. We will have to wait and see the fallout of the alternative National Board of Physicians and Surgeons (NBPAS) and the ongoing Association of American Physicians and Surgeons (AAPS) lawsuit, but I hope that enough physicians wake up to what is happening before it is too late.
The ABIM has failed us, the American Medical Association (AMA) has failed us, and even the American College of Cardiology (ACC) has failed us. Richard Chazal had the gall to tell the Alabama ACC that we should be working with the ABIM/ABMS because trying to get out of their corrupt MOC schemes is “complicated”. He says that the ACC reviewed the ABIM books and they were “clean”. He also defended the ACC support for MACRA, because he said that “we needed to end SGR”. Yes, and we got a poison pill in MACRA to do it. He was too blind to see the truth. MACRA puts in place APMs – the rules have not been written yet, but essentially, the hospital/ACO will get paid, take whatever they want, and give the doctor whatever crumbs are left. If you don’t join an APM you have to demonstrate “quality” – and who gets to define that, under MACRA? the National “Quality” Foundation led by Christine Cassell, who just golden parachuted out of the lead spot at the ABIM. It is time for physicians to reclaim the doctor-patient relationship – including the documentation and payment – from all of the bureaucrats and bean counters out there, be they MDs or not.