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Author: United States Government Accountability Office Publisher: Createspace Independent Publishing Platform ISBN: 9781981887736 Category : Languages : en Pages : 52
Book Description
Medicare: Certain Physician Feedback Reporting Practices of Private Entities Could Improve CMS's Efforts
Author: United States Government Accountability Office Publisher: Createspace Independent Publishing Platform ISBN: 9781981887736 Category : Languages : en Pages : 52
Book Description
Medicare: Certain Physician Feedback Reporting Practices of Private Entities Could Improve CMS's Efforts
Author: U.s. Government Accountability Office Publisher: Createspace Independent Publishing Platform ISBN: 9781973956952 Category : Languages : en Pages : 52
Book Description
" Health care payers-including Medicare-are increasingly using VBP to reward the quality and efficiency instead of just the volume of care delivered. Both traditional and newer delivery models use this approach to incentivize providers to improve their performance. Feedback reports serve to inform providers of their results on various measures relative to established targets. The American Taxpayer Relief Act of 2012 mandated that GAO compare private entity and Medicare performance feedback reporting activities. GAO examined (1) how and when private entities report performance data to physicians, and what information they report; and (2) how the timing and approach CMS uses to report performance data compare to that of private entities. GAO contacted nine entities-health insurers and statewide collaboratives-recognized for their performance reporting programs. Focusing on physician feedback, GAO obtained information regarding report recipients, data sources used, types of performance measures and benchmarks, frequency of reporting, and efforts to enhance the utility of performance reports. GAO obtained similar information from CMS about its Medicare feedback efforts. "
Author: James Cosgrove Publisher: ISBN: 9781457854125 Category : Languages : en Pages : 51
Book Description
Health care payers -- including Medicare -- are increasingly using value-based payment (VBP) to reward the quality and efficiency instead of just the volume of care delivered. Both traditional and newer delivery models use this approach to incentivize providers to improve their performance. Feedback reports serve to inform providers of their results on various measures relative to established targets. This report examined (1) how and when private entities report performance data to physicians, and what information they report; and (2) how the timing and approach that the Centers for Medicare & Medicaid Services (CMS) uses to report performance data compare to that of private entities. Tables and figures. This is a print on demand report.
Author: Department of Health & Human Services Publisher: CreateSpace ISBN: 9781499706499 Category : Medical Languages : en Pages : 40
Book Description
Over the past decade, a growing body of research and online resources has emerged to provide guidance on effective practices for publicly reporting information on provider performance for consumers. These recommendations are for the most part evidence based and assume that an effective report is one that contains performance information that consumers understand and find both credible and relevant. In addition, information is conveyed in a way that makes it as easy as possible for consumers to use it to make good choices among providers. Another key audience for performance reporting is physicians themselves. Health plans and medical groups have sponsored private physician “performance feedback” reports for many years, with the intention of supporting internal quality improvement efforts as well as patient care management. More recently, multistakeholder community quality collaboratives, including roughly half of the Chartered Value Exchanges (CVEs) supported by the Agency for Healthcare Research and Quality (AHRQ), have begun to produce some type of private report for physicians in parallel to their public report for consumers. These groups recognize that a single report designed for one audience cannot meet the needs of both. In addition, the Centers for Medicare & Medicaid Services (CMS) has sponsored pilot studies of the effects of providing individual physicians and medical groups with performance feedback based on claims data and CMS's Physician Quality Reporting System. In contrast with public reports, private reports are often confidential and limited in distribution to those with a “need to know.” Thus, little research even of a descriptive nature has been conducted on the various forms that private reporting has taken. Limited discussion of how to define and measure the effectiveness of such reports and little published evaluation research are available. Therefore, the science of private “feedback reporting” for physicians is nascent at best. As CVEs and other community quality collaboratives consider strategies for private feedback reporting to physicians and other health care providers, they will need to address basic issues such as report design and distribution. They also will need to examine their role in relation to existing and planned internal performance reporting activities of the health systems and medical practices in their markets. In contrast to public reporting for consumers, where the role of a neutral, multistakeholder collaborative is relatively well accepted as a source of objective, communitywide performance data, the role of community collaboratives in private feedback reporting is not always so clearly defined. Many health plans and health systems, which may themselves be collaborative members, have developed very sophisticated internal reporting systems of their own based on electronic health records. In the context of these and other private performance reporting initiatives, community collaboratives will need to determine the unique value-added features that their private feedback reports can provide. The goal is to complement rather than compete with reports from their provider members or other report sponsors. This resource document is intended to provide practical information and guidance primarily to CVEs and other community quality collaboratives interested in the design, dissemination, and use of private feedback reports on physician performance.
Author: Healthcare Intelligence Network Publisher: ISBN: 9781933402567 Category : Medical Languages : en Pages : 45
Book Description
The healthcare industrys call for quality service is coming from all sides. Health plans, employers, consumers and even the federal government are leaning on healthcare providers to document the quality of the care they provide. The Centers for Medicaid & Medicare Services (CMS) is now asking for even more reporting. Physicians can now voluntarily self-report adherence to certain evidence-based quality measures to CMS. Given the benefit of confidential feedback, physicians are encouraged to open their practices to performance improvement and apply lessons learned on their own terms.In this special report, "CMS Physician Voluntary Reporting Program: Weighing the Benefits of Participation," based on a recent audio conference, expert speakers explore the role of CMS Physician Voluntary Reporting Program (PVRP) in the context of healthcares pay-for-performance environment. Highlighting industry trends and directions, they tap into their own experiences to explain how physician groups can use this and other programs to enhance their organization's performance and improve patient outcomes while still preserving the bottom line.You'll hear from Julie Baker, director, healthcare advisory practice, PricewaterhouseCoopers and Robert Fortini, clinical operations manager, Community Care Physicians on the factors driving quality improvement, strategies for success in pay-for-performance programs and how Community Care Physicians is building quality reporting into its practice for P4P programs, including the voluntary CMS program.This 45-page report is based on the January 26, 2006 audio conference "CMS' New Voluntary Physician Pay-for-Performance Program: Identifying the Opportunities" during which Baker and Fortini provided an inside look at pay-for-performance programs along with why and how Community Care Physicians is participating in CMS' new program.You'll get details on: * Today's P4P environment; * Highlights of CMS' Physician Voluntary Reporting Program; * Applying lessons learned from CMS' Hospital Premiere P4P Program; * The benefits of participation in PVRP; * How physicians can build a solid P4P program; and * How Community Care Physicians overcame the obstacles to P4P participation. Table of Contents * The Demand for Performance Improvement o Introducing Pay for Performance o An Industry Trend Takes Hold o CMS Program Applies Lessons Learned o Defining Quality, Standardizing Measures o Identifying the Opportunities o Acknowledging the Challenges o P4P Becoming a Dominant Industry Force o Tapping into the Trend o Hospital Providers React to Changing Market Dynamics o Selling the Product o Moving Toward National Accreditation o Making Incentives Matter o Getting Ahead: Strategies for Success * Case Study: Community Care Physicians Presents the Participant Perspective o Building a Solid Program o Defining Your Own Parameters o Effect of Visit Frequency on HgA1C Levels o Taking the Next Step o A Systematic Approach to Disease Management o Targeting High-Risk Populations o Overcoming the Obstacles o A Commitment to Performance Improvement o Coping with Data Collection o Finding New Routes to Enhancement o A Challenging Endeavor o Electronic Medical Records: Friend or Foe? * Q&A: Ask the Experts o Keeping Up with Reports o Bridges to Excellence Eligibility o Taking and Reporting HgA1C and LDL Levels o Clarifying Data Collection o Submitting the Data o Facilitating Communication * Glossary * For More Information * About the Authors
Author: U.s. Government Accountability Office Publisher: ISBN: 9781974234899 Category : Languages : en Pages : 44
Book Description
"The Middle Class Tax Relief and Job Creation Act of 2012 required that GAO examine private-sector initiatives that base or adjust physician payment rates on quality and efficiency, and the initiatives' applicability to the Medicare program. This report provides information on (1) common themes among private entities with payment incentive initiatives, and physician perspectives on those themes; and (2) the extent to which CMS's financial incentive initiatives for Medicare physicians reflect such themes. GAO acquired information from nine private entities on 12 initiatives selected from expert referrals to include various sizes, types, and geographic locations. GAO also obtained information from physician groups, state medical societies, and national physician organizations. GAO additionally interviewed CMS officials and reviewed relevant CMS documents."
Author: United States Government Accountability Office
Author: United States Government Accountability Office
Author: U S Government Accountability Offi Gao
Author: U.s. Government Accountability Office
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Author: 
Author: James Cosgrove
Author: United States. General Accounting Office
Author: Department of Health & Human Services
Author: Healthcare Intelligence Network
Author: U.s. Government Accountability Office