Study: High-risk practices more likely to receive physician VBP penalty
Physician practices that served a disproportionate share of medically and socially high-risk patients in the first year of the Medicare Physician Value-Based Payment Modifier Program were more likely to receive a penalty compared with other practices, according to a study published today in the Journal of the American Medical Association. The study looked at program payments made in 2015 to 899 large practices caring for more than 5.1 million Medicare fee-for-service beneficiaries in 2013. It found that practices serving more socially high-risk patients had lower quality and lower costs, while practices serving more medically high-risk patients had lower quality and higher costs.
Related News Articles
Headline
The Centers for Medicare & Medicaid Services Sept. 18 released a final rule on policy and technical changes to Medicare Advantage, the Medicare…
Headline
The AHA submitted a statement Sept. 17 for a House Ways and Means Committee markup session on a series of health care and other bills. Specifically, the AHA…
Headline
The AHA Sept. 15 expressed support for the Ensuring Access to Essential Providers Act, legislation that would require Medicare Advantage plans to cover…
Headline
The AHA Sept. 15 urged Aetna to rescind its recently announced “level of severity inpatient payment” policy, saying that it “could erode the transparency…
Perspective
Every health care provider strives to deliver their patients the best possible care, but not all providers offer the same level or complexity of care. Current…
Headline
A JAMA internal medicine study published Sept. 8 found that since the COVID-19 pandemic, Medicare Advantage beneficiaries have been experiencing longer…