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Tiering, P4P, and Physician Performance Measurement

The MMS is working to ensure that tiering and other public reports of physician performance information are accurate and scientifically valid. Such reports should be provided in a format that physicians can readily use to improve the quality and efficiency of their care.


Latest News

Physician Input Necessary in Debate about Serious Adverse Events
The issue of nonpayment for serious adverse events is both complex and volatile. It sparked intense debate at our Annual Meeting in May and will come up again next month at the Interim Meeting of the House of Delegates.
Comparing Approaches to Cost Control
Two independent evaluations of the relative effectiveness of various medical cost control strategies.


Research Reports

The Changing Landscape of Health Insurance

Educational Opportunities

"Understanding Episodes of Care" CME Video for Physicians

Resources and Background Information

Health Plan Programs Follow Some, But Not All, MMS Guidelines on Tiering, P4P, and Prior Authorization
Summary of Health Plan Alignment with MMS Principles
Massachusetts Physicians Applaud NY Attorney General Cuomo's Efforts on Physician Ranking Systems
Review of the Massachusetts Group Insurance Commission Physician Profiling and Network Tiering Plan
Transparency in Health Care Survey
MMS Guidelines for Measuring, Reporting, and Rewarding Physician Performance

Image What Patients Should Know About Physician Tiering
Image Physician Tiering and Profiling: What Physicians Can Do
Image MMS-GIC Timeline on Physician Tiering
Image CMS Physician Quality Reporting Initiative (PQRI)


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