Medicare’s Physician Feedback Program—How Does Your Practice Measure Up?
Medicare’s Physician Feedback Program provides comparative performance information to physicians and medical practice groups, as part of the effort to improve the quality and efficiency of medical care given to patients. The program supplies clinically meaningful and actionable information to providers so they can improve the care delivered.
The Program (specific to Fee-For-Service Medicare—not Medicare Advantage) contains two primary components:
- Quality and Resource Use Reports (QRURs)
- Development and implementation of the Value-Based Payment Modifier (Value Modifier)
The 2014 QRUR is available to every group and solo practitioner nationwide that reported at least one quality or cost measure with at least one eligible case during the performance period from Jan. 1, 2014 to Dec. 30, 2014. For the first time, Medicare has made available the 2014 QRUR for groups and solo practitioners with non-physician eligible professionals only, as well as groups and solo practitioners that participated in the Shared Savings Program, the Pioneer Accountable Care Organization Model or the Comprehensive Primary Care Initiative in 2014. The reports contain information about practices’ performance on the quality and cost measures used to calculate the 2016 Value-Based Payment Modifier (Value Modifier).
The Value Modifier provides for differential payment under the Medicare Physician Fee Schedule (PFS) based on the quality of care furnished compared to the cost of care during a performance period. The Value Modifier is an adjustment made on a per claim basis to Medicare payments for items and services under the Medicare PFS.
atom Alliance provides technical assistance. Our experts are ready to help assess clinical quality of care, care coordination, patient safety, patient experience of care, caregiver experience of care, population/community health and efficiency. Learn more here.