Considering that performance measures for pediatricians don't exist—with the exception of immunizations, "the pediatricians want to be involved as [lawmakers] go forward in developing quality measures," AAP's Dr. Cohen said.
Some delegates, such as James Bean, M.D., of the American Association of Neurological Surgeons, thought the AMA should stand by and defend its principles. "We shouldn't negotiate out of fear," he said during House of Delegates proceedings.
In an interview, Dr. Armstrong said the AMA would continue to work with the delegation's specialty groups, to make sure that all physicians were on the same page with pay for performance.
The internal battles over payments have erupted at a time when the AMA is testing new approaches to improve its public reputation and solidify its relationship with other physician groups. In the meeting's opening session, Gary Epstein, the AMA's chief marketing officer, urged delegates to transform their impassioned debates into a consensus process to help patients.
"Together we are stronger," he said, reciting one of the AMA's new mantras. "That's not debatable."