Patient Engagement September 12, 2018
Sara Heath

A GAO report found that patient-reported outcomes (PRO) data is more effective for calculating Medicare Advantage risk adjustment payments.

Using patient-reported outcomes (PRO) data could be a better measure for risk adjustment payments for Medicare Advantage plans, but better strategies for collecting PRO data must first be developed, according to a recent report from the Government Accountability Office (GAO).

Patient-reported outcomes measures (PROMs) are indicators of functional status that the patient gives to their medical providers. Common PROMs include ability to carry groceries into a patient’s home, ability to button one’s shirt, or the ability to walk one city block. These measures look beyond a patient’s clinical status and instead at how a patient is able to live her life...

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Topics: CMS, GAO, Govt Agencies, Health System / Hospital, Insurance, Medicare Advantage, Patient / Consumer, Physician, Primary care, Provider
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