HealthLeaders Media December 5, 2017
John Commins

New research suggests that Medicare’s pay-for-performance measures, including the Merit-based Incentive Payment System, unfairly penalize providers who serve older, sicker, poorer patients.

A study recently found that Medicare’s Value-based Payment Modifier program inadvertently shifted money away from physicians who treated sicker, poorer patients to pay for bonuses that rewarded practices treating richer, healthier populations.

Study lead author Eric Roberts, an assistant professor of health policy and management at the University of Pittsburgh Graduate School of Public Health, says that if changes aren’t made, value-based payment models will continue to shortchange the poor.

Roberts spoke with HealthLeaders Media about his findings. The following is a lightly edited transcript.

HLM: Why did you do this study?

Roberts: We wanted to take a...

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Topics: ACO (Accountable Care), Health System / Hospital, MACRA, Medicaid, Medicare, Patient / Consumer, Payer, Physician, Primary care, Value Based
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