Forbes April 5, 2018
Grace-Marie Turner and Carol Monaco

Since the managed care debacle of the 1990s, billions of dollars have been spent in time and resources to improve and measure the quality of patient care. However, measuring the quality of care in the effort to improve it in a cost-efficient manner is showing evidence of being counter-productive, particularly for small physician practices and practices with complex patient populations.

The goal of these programs is to hold physicians accountable for the care they provide and adjust their payments accordingly. However, many practices that face limited resources and staffing, and a lack of appropriate infrastructure to comply with quality performance requirements, are vulnerable to payment penalties which exacerbate their limitations and create obstacles to improving the quality of patient care.

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Topics: ACO (Accountable Care), MACRA, Patient / Consumer, Payment Models, Physician, Primary care, Provider, Value Based
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