S. (Krishna, Kelleher, Stahlberg, 2007). The second most critical ethical dilemma impacting healthcare insurance providers continues to be ratings of physicians and the assessment of their skill sets over time (Labig, 2009). As healthcare providers pay fees specifically on the performance levels of physicians their levels of performance need to be accurately and ethically assessed (Labig, 2009). The argument many patients have is that given the very high level of variation in performance of healthcare providers, often the premiums paid do not correspond to the level of service given. This is one of the arguments against nationalized healthcare as there are many who feel that provider quality will not be enforced and quality of care will suffer. The third most pressing ethical issue from a healthcare provider's standpoint is the reliance on metrics of performance, or balanced scorecards that can quantify the level of compliance over time for a given healthcare provider (Winkler, Gruen, Sussman, 2005). Today each insurance provider has yet to standardize on a common set of...

This further leads to confusion over just how effective compliance initiatives are in turn across these three critical areas of ethical performance.
References

Susan Dorr Goold (1998). Money and trust: Relationships between patients, physicians, and health plans. Journal of Health Politics, Policy and Law, 23(4), 687-695.

Ana Smith Iltis. (2001). Organizational Ethics and Institutional Integrity. HEC Forum, 13(4), 317-328.

Rajeev Krishna, Kelly Kelleher, & Eric Stahlberg. (2007). Patient Confidentiality in the Research Use of Clinical Medical Databases. American Journal of Public Health, 97(4), 654-8

Labig, C. (2009). Bad Measures Don't Make Good Medicine: The Ethical Implications of Unreliable and Invalid Physician Performance Measures. Journal of Business Ethics, 88(2), 287-295.

Eva C. Winkler, Russell L. Gruen, & Andrew Sussman. (2005). First Principles: Substantive Ethics for Healthcare Organizations. Journal of…