CMS details physician incentives for pay-for-performance

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The Centers for Medicare and Medicaid Services (CMS) have posted specifications for 74 measures included in the 2007 Physician Quality Reporting Initiative (PQRI).

PQRI establishes a financial incentive for physicians and other health practitioners to participate in a voluntary quality reporting program. Healthcare providers who submit a designated set of quality measures may earn a bonus payment, subject to a cap of 1.5 percent of total allowed charges for covered Medicare physician fee schedule services provided during the reporting period of July 1 to December 31, 2007.

 “CMS is committed to becoming an active purchaser of high quality, efficient health care, and the PQRI program is an important step in that transformation,” said CMS Acting Administrator Leslie V. Norwalk.

The 2007 PQRI covers an assortment of performance measures. There are evidence- and consensus-based measures that reflect the work of national organizations involved in quality measure development, consensus endorsement, and adoption. These include the American Medical Association Physician Consortium for Performance Improvement, the National Committee for Quality Assurance, the National Quality Forum, the AQA Alliance, and other physician and non-physician professional organizations.

The PQRI measures apply to services that eligible professionals provide to Medicare beneficiaries in their offices and other settings. For more details, visit: