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Physicians

C-P Alliance has long advocated for greater transparency in health care performance to advance quality improvement and allow consumers to make more informed choices.  Publically available information on quality for individual clinicians supports a culture of transparency in which consumers can access and use quality information to inform their choice of provider and decisions about their care. Furthermore, timely feedback for providers on their performance is essential to their capacity to identify opportunities for improvement and efficiency.

Increasingly, C-P Alliance’s advocacy agenda is focused on promoting physician payment based on performance evaluation.  C-P Alliance has urged CMS to leverage Physician Fee Schedule programs to encourage physicians to pursue quality and value of services, rather than volume of care.

 

April 16, 2015

Landmark Physician Payment Law Moves Health System Toward Value

The Medicare Access and CHIP Reauthorization Act of 2015 replaces the failed Medicare Sustainable Growth Rate formula (SGR) with a new physician payment system that rewards higher quality and higher value. Read the Consumer-Purchaser Alliance's statement here and learn more from C-P Alliance Co-Chair Bill Kramer and Senior Policy Analyst Stephanie Glier.

 

What was the SGR?

 

What is in the new law?

 

April 1, 2014

Medicare to Release Doctor Payment Information

C-P Alliance statement: Increased transparency in health care cost will help improve care and reduce costs.

 

 

September 6, 2013

CP Alliance Asks CMS to Strengthen Medicare Physician Fee Schedule Programs

In its response to the CMS proposed rule on the Payment Policies under the Physician Fee Schedule (PFS), CP Alliance is urged the Medicare program to strengthen its efforts to improve the quality of physician care for the nation's 47 million Medicare beneficiaries. In a letter to CMS, 27 consumer, labor, and purchaser organizations emphasized the need for CMS to address measure gaps in areas of critical importance, such as clinical and patient-reported outcomes, appropriateness, and resource use.


September 5, 2012
CP Alliance Calls for More Robust Medicare Physician Fee Schedule Programs
CP Alliance is urging the Medicare program to strengthen its efforts to improve the quality of physician care for the nation's 47 million Medicare beneficiaries. In a letter to CMS, 28 consumer, labor, and purchaser organizations said stronger quality measurement and public reporting programs are essential to creating a system of care that rewards better care, higher value, and more coordination of care instead of the volume of services provided.


September 5, 2012
Explaining What Physician Compare Means to Consumers and Purchasers
CP Alliance completed an issue brief on the topic of CMS' Physician Compare website, "How Physician Compare Could Help Consumers." This publication explains how Physician Compare changes the field of information available on physician performance, how the website will roll-out, and recommendations for improvement.


February 25, 2011
Comments to CMS on Transforming the Physician Quality Reporting System
In a letter to CMS, twenty-eight consumer, labor, and purchaser organizations advocated for CMS to make rapid and significant changes to the Physician Quality Reporting System (PQRS). PQRS is a program that pays clinicians for submitting data on quality measures. In the future some of the quality measures will be used in Physician Compare and potentially for performance-based payment. Unfortunately, in its current form, PQRS fails to serve the public interest. The organizations called for the program to require clinicians to report on more and better measures, focus on whether care made a difference for the patient, make data available to the private sector, and ensure that beneficiary needs and interests are primary.


February 28, 2007
Medicare's Physician Performance Reporting Agenda
Resources & Background Material

Medicare's Physician Performance Reporting Agenda
Background Information, February 2007

Medicare's Physician Performance Agenda: Understanding Next Steps and Shaping the Future Course
Peter Lee, Consumer-Purchaser Alliance

2007 Physician Quality Reporting Initiative (PQRI)
Herb Kuhn and Tom Valuck, CMS

Building for the Future: Moving to Administrative Sources and Electronic Health Records
Marc Overhage, Regenstrief Institute David Bates, Partners Healthcare


September 29, 2006
Using Electronic Data to Assess Physician Quality & Efficiency
Resources & Background Material

Using Electronic Data to Assess Physician Quality and Efficiency
Resources and Background Materials, September 2006

Promise and Perils of Electronic Data
Peter Lee, Consumer-Purchaser Alliance

Physician Performance Measurement
Earl Steinberg, Resolution Health

Efficiency Performance Measurement
Mark Rattray, President of CareVariance

 

*Please note: the above are highlights for this topic. Please use the search function to find more materials.