Data Changes the Doctors' Game
Physician Feedback reports were mailed to more than 23,000 Medicare fee-for-service physicians in large medical group practices in Iowa, Kansas, Missouri and Nebraska.
The reports detail physician per-capita cost and quality reporting information from 2010 that will be used under what is known as a "value-based modifier" for Medicare pay under the Affordable Care Act of 2010. The modifier is a key to providing different payments to physicians or groups of physicians under a fee schedule based on quality of care compared to costs.
Medicare is required to phase in the payments beginning in 2015 to physicians' groups of 25 or more. The value-based modifier payments would apply to all physicians in 2017.
CMS anticipates that payment incentives and penalties will be based under a proposed rule published July 30 in the Federal Register. The Affordable Care Act has authorized CMS to penalize physicians who do not participate, up to 2% of allowable Medicare charges, with the same amount as incentive payments.
- As Medicare Advantage Cuts Loom, Disagreement Over Program's Stability
- Medicare Advantage Carriers See 'No Choice' But to Accept Cuts
- Centralizing the Revenue Cycle Protects the Bottom Line
- Physicians to Appeal 'Docs v. Glocks' Ruling in FL
- CA Fines 8 Hospitals for Medical Errors
- Doctors Feel Pressure to Accept Risk-based Reimbursement
- 3 Management Lessons from a Supermarket Debacle
- Surgical Checklists Unused in 10% of Hospitals, CMS Data Shows
- Employers Weigh Risks, Benefits of Private Exchanges
- Revenue Cycles Get a Boost from Simple JPEG Files