Physician Groups Receive Upward, Neutral, or Downward Adjustments to Their Medicare Payments in 2016 Based on Their Performance on Quality and Cost Efficiency Measures

(Source – CMS.gov)

CMS posted results from the implementation of the second year of the Value-based Payment Modifier (Value Modifier), part of the Affordable Care Act. The Value Modifier rewards physicians and groups of physicians who provide high quality and cost-effective care, while encouraging improvement for those who do not report quality measures or are determined to have poor performance. The 2016 Value Modifier, based on performance in 2014, is being applied to physicians in groups with 10 or more eligible professionals (EPs). A group is identified by its Medicare-enrolled Taxpayer Identification Number (TIN). Read more…

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