Performance Improvement Programs

Performance Improvement Programs
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What are Performance Improvement Programs?
Performance Improvement Programs (also known as Pay for Performance, P4P or value-based purchasing) are payment models that reward physicians, hospitals, medical groups, and other health care providers for meeting certain performance measures for quality and efficiency. Rising health care costs have brought this payment model to the forefront of health care reform.

TMA is working with other health care stakeholders to improve the validity of quality indicators, respect patient and physician autonomy and privacy, and reduce administrative burdens that may be associated with such programs.

The two programs in place across Texas are:

1. Blue Cross Blue Shield of Texas Bridges to Excellence

2. Center for Medicare and Medicaid Services Physician Quality Reporting Systems (PQRS, formerly PQRI)
You are in a unique position to improve medical care in our nation.

TMA has developed tools to assist you. Please see the menu to the left for available resources on clinical effectiveness, patient experience, performance improvement programs, and related topics.

Tell Me About Quality Reporting Tools

TMA endorses these vendors for PQRS submissions to CMS.

PQRIwizard
PQRIwizard is a simple and cost-effective online tool that eligible physicians can use to collect and report quality measure data under the PQRS pay-for-reporting program. The submission fee for 2013 has been lowered for TMA physician-members to only $199, a 33% discount off of standard pricing. Groups with more than ten physicians are eligible for an additional 10% discount. Click here to get started!

Covisint DocSite
Don't miss out on PQRS incentives for the 2013 reporting season or let negative payment adjustments sneak up on you! Most practices already have all the data they need to qualify for the PQRS incentive, but do not realize how easy submissions can be. By utilizing the Covisint DocSite portal, physicians have received thousands of dollars in PQRS incentives with no disruptions to their workflow. Click here for more information and to register for DocSite today. Don’t see a measure group that fits? Call and ask about reporting individual measures. TMA members receive a discounted price of $195 by using code TMAPQRS13.

What are Performance Improvement Programs?

Performance Improvement Programs (also known as Pay for Performance, P4P or value-based purchasing) are payment models that reward physicians, hospitals, medical groups, and other health care providers for meeting certain performance measures for quality and efficiency.

Rising health care costs have brought this payment model to the forefront of health care reform.

TMA is working with other health care stakeholders to improve the validity of quality indicators, respect patient and physician autonomy and privacy, and reduce administrative burdens that may be associated with such programs.
What programs are currently in Texas?

Quality improvement allows physicians to increase reimbursement and document quality of care at the same time.

The two programs in place across Texas are:

Blue Cross Blue Shield of Texas Bridges to Excellence

Center for Medicare and Medicaid Services Physician Quality Reporting Systems (PQRS, formerly PQRI)
Whom do I contact if I have more questions?

Please feel free to contact us with any questions.

Refer to these portions of the TMA website:

Deadlines for Doctors
Continuing Medical Education
HIT
TMA Practice Consulting
Payment Advocacy
Physician Oncology Education Program (POEP)

Or Contact the TMA Knowledge Center:
(800) 880-7955
knowledge@texmed.org
Ask TMA

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Performance Improvement Programs

What are Performance Improvement Programs?

You are in a unique position to improve medical care in our nation.

Tell Me About Quality Reporting Tools

What are Performance Improvement Programs?

What programs are currently in Texas?

Whom do I contact if I have more questions?

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