MGMA conducted member research in October 2014 to better understand physician practices’ experiences with Medicare Part B quality reporting programs and how they’ve impacted practice operations and overall quality improvement for Medicare beneficiaries. The survey includes responses from more than 1,000 medical groups in which more than 48,000 physicians practice nationwide. 

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Overview

2015 is a critical year for medical group practices participating under three main Medicare Part B quality reporting programs: Physician Quality Reporting System (PQRS), the meaningful use EHR Incentive program and the Value-Based Payment Modifier. It will be the first year all three programs penalize physicians for unsuccessful reporting. When added up, unsuccessful reporting in 2015 will subject physicians and other eligible providers to Medicare payment penalties as high as 11%, levied in future years.  

MGMA noted four main themes within the findings.

Practices are already engaged in quality improvement
More than 82% of physician group practices responding to the research reported they actively engage in internal processes to improve clinical quality for the patients they serve. 

Medicare’s quality reporting programs are not enhancing the quality of care delivered
While these programs are intended to improve the quality of care physicians provide to their patients, the majority of respondents reported that these programs actually detract from patient care.

Medicare’s quality reporting programs are negatively impacting practice resources 
Practices face a number of challenges complying with complex program requirements and practice resources are being stretched dangerously thin. 

Practices are concerned for 2015
Practices are very concerned with their ability to successfully participate in Medicare’s quality reporting programs in 2015.

Discuss your experience with Medicare quality reporting programs with your peers.

Additional information on Medicare Quality Reporting Programs
Federal Quality Reporting Programs

 

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