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)
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.
PQRSwizardPQRSwizard 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!
Rising health care costs have brought this payment model to the forefront of health care reform.
Refer to these portions of the TMA website:
Deadlines for Doctors Continuing Medical Education on Quality Improvement TopicsHITTMA Practice ConsultingPayment AdvocacyCancer Control and Prevention
Or Contact the TMA Knowledge Center:(800) firstname.lastname@example.orgAsk TMA
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