Healthcare DIVE November 29, 2017
Meg Bryant

Dive Brief:

  • Pay-for-performance programs are meant to improve quality and outcomes while lowering healthcare costs. But researchers found one program did not affect performance measures and could actually contribute to healthcare disparities without improving performance if risk-adjustment formulas and incentives are inadequate, a study in the Annals of Internal Medicine concluded.
  • The researchers analyzed Medicare claims to see the impact on performance when practices with 100 or more clinicians were exposed to full Value-Based Payment Modifier (VM) incentives (penalties and bonuses) and practices with 10 or more clinicians were exposed to penalties only. They also looked at how adjusting for additional patient characteristics affected performance between practices serving higher- versus lower-risk patients.
  • They found no statistically significant discontinuities between...

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Topics: CMS, MACRA, Market Research, Physician
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