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Tiering and Pay for Performance
The MMS advocates to ensure that tiering, pay for performance
programs and other public reports of physician performance are accurate
and scientifically valid.
Overview and Background
MMS Stance
- Accurate and timely data
- Focus on results that are directly attributable to the
physician’s performance
- Analyses of data that are appropriate to the questions being
addressed and are effectively risk-adjusted
- Effective steps to correct data inaccuracies or misinterpretations
before data are released to outside parties: i.e., insurers, employers,
or the public
- Public reports that are easily and accurately
interpreted
- Incentives aimed at rewarding better physicians or hospitals based
on important differences in clinical outcomes or the cost-effectiveness
of care
MMS Achievements
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The MMS has filed litigation in Suffolk Superior Court, alleging
that the state Group Insurance Commission’s “Clinical
Performance Improvement Program” is misleading to patients, and
inaccurately issues reports on the quality of care provided by
individual physicians.
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