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The pay-for-performance paradigm for Medicare

Physicians who voluntarily submit data to CMS under certain quality measures will be able to receive a 1.5% pay increase effective July 1. In total, there are 74 quality measures. CMS titled this new program the 2007 Physician Quality Reporting Initia-tive (PQRI). The PQRI program-the latest effort by the Bush administration to restrain runaway spending on physician services under Medicare-is similar to the claims-based quality reporting system implemented in January 2006 under the Physician Voluntary Reporting Program (PVRP).