TMA Tells Feds How to Develop Quality Measures

In a letter to the Centers for Medicare & Medicaid Services (CMS), TMA specified a list of principles and guidelines CMS should use in developing quality measures for physicians. 

As mandated by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), CMS posted a draft quality measure development plan for public comment. The purpose of the plan is to support the upcoming transition to the Merit-Based Incentive Payment System (MIPS) and alternative payment models (APMs). Those programs will incorporate and replace Medicare's Physician Quality Reporting System (PQRS), the meaningful use program for electronic health records, and the value-based payment modifier.

"TMA advocates the use of the most current, best clinical research evidence to inform the selection and development of quality measures," wrote Gregory M. Fuller, MD, chair of the Council on Health Care Quality. Among the list of principles and guidelines, "measures used in MIPS and APMs should be developed so that they do not result in financial penalties for physicians when their patients do not comply with orders or recommendations for testing and treatment."

The final plan, taking into account public comments on the draft plan, will be posted on the CMS MACRA website by May 1.

Action, March 15, 2016

Last Updated On

May 13, 2016

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