Tiering and Pay for Performance

Medical recordsThe MMS advocates to ensure that tiering, pay for performance programs and other public reports of physician performance are accurate and scientifically valid.


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Overview and Background


MMS Stance

Programs for monitoring the quality and costs of health care must include: 
  • 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

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