Medicare Quality Performance Targets

 In 2013, CMS will gather performance data to determine which doctors will get award bonuses and which will get a 1.5% cut in Medicare payments starting in 2015.  CMS is testing a physician performance program using data gathered in its Physician Quality Reporting System (PQRS) initiative, which promotes reporting of quality information by EPs.  This feedback will be combined with claims-based efficiency data to develop a “value-based modifier” that will result in different Medicare rates being paid to individual physicians.  Medicare will adjust reimbursement up or down on the basis of a physician’s efficiency and quality scores.