Create opportunities for performance-based payment updates based on successful participation in an approved transitional value-based payment program initiative that meets standards relating to the effectiveness of each program, building on successful models in the public and private sectors.
THE ROLE OF PERFORMANCE ASSESSMENT IN A REFORMED HEALTH CARE SYSTEM
Existing Quality Improvement (QI) programs, such as Medicare PQRS, e-RX, and meaningful- use programs must be better aligned with each other, with private-payer initiatives, or with specialty boards' maintenance of certification programs. While strides have been made in aligning the measures, at a high level, the technical requirements within each of the programs are different enough that dual processes must be undertaken.
Improve CMS's ability to provide timely data to participating physicians and practices, which is critical to enable physicians to make adjustments to improve patient care.
In 2012, ACP released a paper, The Role of Performance Assessment in a Reformed Health Care System, in which we laid out a series of policy statements focused on the evolving roles of performance assessment efforts within the realm of medical care, including programs linking payments to reporting and performance on specific quality measures.
SPECIFIC PAYMENT AND DELIVERY REFORMS THAT CAN SERVE AS THE BASIS FOR A NEW MEDICARE PAYMENT SYSTEM
The patient-centered medical home (PCMH) should be scaled up for broad adoption within Medicare. The PCMH model is an approach to providing comprehensive primary care in a setting that focuses on the relationships among patients, their primary care physicians, and other health professionals involved in thei
|Contact: Sam Benton|
American College of Physicians