tci Part B Insider - 2005 Issue 4

Physician Notes: CMS Will Call The Tune, You'll Give The Performance

Prepare to feel the pinch if care doesn't meet efficiency standardsThe Medicare Payment Advisory Commission's March report will recommend that Congress immediately establish pay-for-performance (P4P) mechanisms for physicians and other providers. Also, the Centers for Medicare & Medicaid Services should require more data collection on claim forms, such as prescription-drug use and lab results.At first, Medicare would only put a small amount of provider payments at risk for quality achievements, said MedPAC. But over time the percentage would grow substantially. In the first year, 1 percent of physicians' payments would be shifted into a quality pool that would...

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