Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Apr-Jun;39(2):98-107.
doi: 10.1097/JAC.0000000000000137.

Rethinking Medicare Payment Adjustments for Quality

Richard F Averill  1 , Richard L Fuller, Elizabeth C McCullough, John S Hughes
Affiliations

Rethinking Medicare Payment Adjustments for Quality

Richard F Averill et al. J Ambul Care Manage. 2016 Apr-Jun.

Abstract

Payment reforms aimed at linking payment and quality have largely been based on the adherence to process measures. As a result, the attempt to pay for value is getting lost in an overly complex attempt to measure value. The "Incentivizing Health Care Quality Outcomes Act of 2014" (HR 5823) proposes to replace the existing patchwork of process and outcomes quality measures with a uniform, coordinated, and comprehensive outcomes-based quality measurement system. The Outcomes Act represents a shift in payment policy toward getting value instead of an increasingly complex attempt to measure value.

PubMed Disclaimer

Comment in

References

    1. American Medical Association. (2014). Regulatory penalties tsunami could cut doctors' pay by 13 percent. AMA Wire. Retrieved from http://www.ama-assn.org/ama/ama-wire/post/regulatory-penalties-tsunami-c...
    1. Berenson R., Pronovost P., Krumholz H. (2013). A chieving the potential of health care performance measures. Retrieved from http://www.rwjf.org/en/library/research/2013/05/achieving-the-potential-...
    1. Blumenthal D., Malphrus E., McGinnis J. M. (2015). Vital SignsCore metrics for health and health care progress. Retrieved from http://www.nap.edu/catalog/19402/vital-signs-core-metrics-for-health-and... - PubMed
    1. Calikoglu S., Murray R., Feeney D. (2012). Hospital pay-for-performance programs in Maryland produced strong results, including reduced hospital-acquired conditions. Health Affairs (Project Hope), 31(12), 2649–2658. 10.1377/hlthaff.2012.0357 - PubMed
    1. Centers for Medicare & Medicaid Services. (2015a). Hospital-acquired condition (HAC) reduction program. Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpat... - PubMed