Modern Healthcare November 29, 2017
The use of pay-for-performance payment models could drive providers to turn away low-income patients with complex care needs, a new study suggests.
The report, published this week in Annals of Internal Medicine, found practices that cared for high-risk patients were more likely to receive financial penalties under the CMS’ Value-based Payment Modifier program because their patients had higher rates of hospitalization, mortality and Medicare spending.
The mandatory program penalized or rewarded physicians based on their quality outcomes and cost of care. The program was a precursor to and was replaced by the Medicare Access and CHIP Reauthorization Act (MACRA).
“These penalties are disproportionately affecting practices serving sicker and poorer patients,” said Eric Roberts, an author of the study and assistant...
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