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Robinson B - Heart attack treatments, for instance, were rated on whether someone administers aspirin and beta blockers when a patient arrived and whether someone to tried persuade the patient to stop smoking, the study states, adding that those are not strong precursors of quality differences. Many commercial and public interest groups are now attacking the problem. The American Medical Association (AMA), for example, is leading a project to develop standard performance measures that health providers and insurance plans nationwide can use, including the Medicare program. The project has already produced more than 140 measures.

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