Massachusetts Medical Society: Tiering and Pay for Performance

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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