Document Type
Issue Brief
Publication Date
10-30-2013
Abstract
The Medicare program, despite its reputation of being a bill payer with little regard to the worth of the services it buys, has begun to put in place a range of programs aimed at assessing quality and value, with more to come. Attention to resource use and cost is nascent. The issues are complex, and it is no surprise that there is a level of contention between providers and regulators, even though both profess commitment to improved quality. This paper summarizes the quality and value programs that apply to physicians and other clinical professionals, as well as programs designed to encourage the adoption of technology to support quality improvement. Participation in all is voluntary. However, a decision not to participate increasingly carries a financial penalty, as Congress (and, by extension, the U.S. Department of Health and Human Services, or HHS) tries to encourage behavior it cannot force.
Recommended Citation
Sprague, Lisa, "Seeking Value in Medicare: Performance Measurement for Clinical Professionals" (2013). National Health Policy Forum. Paper 289.
https://hsrc.himmelfarb.gwu.edu/sphhs_centers_nhpf/289
Open Access
yes
Included in
Community Health and Preventive Medicine Commons, Health and Medical Administration Commons, Health Law and Policy Commons, Health Services Administration Commons, Health Services Research Commons
Comments
Issue brief no. 852