|Physician Quality and Resource Use Reports Now Available|
Physician Quality and Resource Use Reports Now Available: Physicians Encouraged to Access Their Reports
On October 2, the Centers for Medicare and Medicaid Services (CMS) announced the availability of the 2013 Quality and Resource Use Reports (QRURs). This is the first year that reports are being made available to all physician groups and solo practitioners.
The 2013 QRURs contain quality and cost performance data for CY 2013, which is the performance period for the Value-Based Payment (VBP) Modifier that will be applied to Medicare Physician Fee Schedule payments for groups of 100 or more eligible professionals in 2015. The 2013 QRURs are intended to provide to physicians clinically meaningful and actionable information that can be used to plan for improving the quality and efficiency of care provided to Medicare beneficiaries and also to understand and improve performance on quality and cost measures for the 2016 VBP modifier.
Information on how to access a QRUR can be found on CMS’ web site.
Last year (2012 QRURs), reports were available for groups of 25 or more eligible professionals (approximately 6,500 group practices). Of these groups, approximately 4,000 reports were prepared. This means that roughly 2,000 groups did not get a report because the practice did not have any attributed beneficiaries. If a practice or physician does not have a report this year, it may be because no beneficiaries were attributed to them.
Beneficiaries are attributed to group practices and using a two-step approach. For all cost and quality measures included in the Quality or Cost Composites that are calculated from Medicare administrative claims data, a beneficiary receiving primary care services from one or more primary care physicians is attributed to the physician or group of physicians whose primary care physicians provided the plurality of allowable Medicare charges for the beneficiary’s primary care services. Otherwise, the beneficiary is attributed to the physician or group practice (regardless of specialty) that provided the plurality of allowable Medicare charges for the beneficiary’s primary care services, as long as at least one physician in the TIN provided primary care services to the beneficiary.
The rates at which group practices have accessed their reports in the past have been disappointing. Because the VBP modifier will be applied to all physicians beginning in 2017, it is important that physicians not only access their reports for performance improvement purposes, but also to provide feedback about how the usability and meaningfulness of the reports can be improved.
More information about the QRURs can be found on CMS’ web site.