Value-based payment for physicians in medicare: Small step or giant leap

Annals of Internal Medicine

Volumn 160, Issue 8, 2014, Pages 565-566

  Ryan, Andrew M ^a   Press, Matthew J ^b  

^a WEILL CORNELL MEDICAL COLLEGE   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ACCOUNTABLE CARE ORGANIZATION; ACT; ARTICLE; BACTERIAL PNEUMONIA; BEHAVIOR CHANGE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL INDICATOR; DEHYDRATION; DIABETES MELLITUS; GROUP PRACTICE; HEALTH CARE COST; HEALTH CARE SYSTEM; HEART FAILURE; HOSPITAL READMISSION; HUMAN; MEDICAID; MEDICAL FEE; MEDICAL SPECIALIST; MEDICARE; PATIENT SATISFACTION; PERFORMANCE MEASUREMENT SYSTEM; PHYSICIAN VALUE BASED PAYMENT MODIFIER; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; URINARY TRACT INFECTION; VALUE BASED PAYMENT;

HUMANS; MEDICARE; PHYSICIANS; REIMBURSEMENT MECHANISMS; RELATIVE VALUE SCALES; UNITED STATES;

EID: 84898864637     PISSN: 00034819     EISSN: 15393704     Source Type: Journal    
DOI: 10.7326/M13-1715     Document Type: Article

References (10)

1. Centers for Medicare & Medicaid Services. Medicare program; revisions to payment policies under the physician fee schedule, clinical laboratory fee schedule & other revisions to Part B for CY 2014. Fed Regist. 2013;78:43282-532. Accessed at www.gpo.gov/fdsys/pkg/FR-2013-07-19/pdf/2013- 16547.pdf on 3 March 2014.
2. Centers for Medicare & Medicaid Services. Medicare program; revisions to payment policies under the physician fee schedule, DME face-to-face encounters, elimination of the requirement for termination of non-random prepayment complex medical review and other revisions to Part B for CY 2013; final rule. Fed Regist. 2012;77:68892-9380. Accessed at www.gpo.gov/fdsys/pkg/ FR-2012-11-16/pdf/2012-26900.pdf on 3 March 2014.
3. VanLare JM, Blum JD, Conway PH. Linking performance with payment: implementing the Physician Value-Based Payment Modifier. JAMA. 2012;308:2089-90. [PMID: 23198298]
4. Alexander JA, Maeng D, Casalino LP, Rittenhouse D. Use of care management practices in small- and medium-sized physician groups: do public reporting of physician quality and financial incentives matter? Health Serv Res. 2013;48:376-97. [PMID: 22880957]
5. Bishop TF, Federman AD, Ross JS. Association between physician quality improvement incentives and ambulatory quality measures. Am J Manag Care. 2012;18:e126-34. [PMID: 22554038]
6. Centers for Medicare & Medicaid Services. Physician Quality Reporting System (PQRS) overview. 2013. Accessed at www.cms.gov/Medicare/Quality- Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/PQRS- OverviewFactSheet-2013-08-06.pdf on 3 March 2014.
7. Ryan AM, Nallamothu BK, Dimick JB. Medicare's public reporting initiative on hospital quality had modest or no impact on mortality from three key conditions. Health Aff (Millwood). 2012;31:585-92. [PMID: 22392670]
8. Berenson RA, Ginsburg PB, Kemper N. Unchecked provider clout in California foreshadows challenges to health reform. Health Aff (Millwood). 2010;29:699-705. [PMID: 20185503]
9. Carey MA. Hill plan would reward doctors for quality. Kaiser Health News. 7 February 2014. Accessed at www.kaiserhealthnews.org/stories/2014/february/06/ bipartisan-bill-medicare-sustainable-growth-rate-doc-fix.aspx on 3 March 2014.
10. Muhlestein D. Continued growth of public and private accountable care organizations. Health Affairs Blog. 19 February 2013. Accessed at http://healthaffairs.org/blog/2013/02/19/continued-growth-of-public-and- privateaccountable-care-organizations on 3 March 2014.