tci Part B Insider - 2004 Issue 43

Pay-For-Performance: Quality Is Job Two, After Figuring Out What 'Quality' Means

You could see a steep cut to make room for 'incentives'Everybody wants to reward physicians who do a good job, but nobody knows how to accomplish that goal. MedPAC is trying to change that.The Medicare Payment Advisory Commission has considered a number of ways that Medicare could measure doctors' performance and pay them more for higher quality care. Medicare could boost pay based on extra professional certifications the physician obtained, or pay more to physicians who used electronic medical records in ways that improved their ability to track chronic illnesses. Medicare also could use "process measures" which track...

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