Nephrologist Performance in the Merit-Based Incentive Payment System

Kidney Medicine - Tập 3 - Trang 816-826.e1 - 2021
Sri Lekha Tummalapalli1, Mallika L. Mendu2,3, Sarah A. Struthers4, David L. White5, Scott D. Bieber6, Daniel E. Weiner7, Said A. Ibrahim1
1Division of Healthcare Delivery Science & Innovation, Department of Population Health Sciences, Weill Cornell Medicine, New York, NY
2Division of Renal Medicine, Brigham and Women’s Hospital, Harvard Medical School
3Center for Population Health, Mass General Brigham, Boston, MA
4Division of Nephrology, Department of Medicine, University of Washington, Seattle, WA
5American Society of Nephrology, Washington, DC
6Kootenai Health, Coeur d’Alene, ID
7Division of Nephrology, Department of Medicine, Tufts Medical Center, Boston, MA

Tài liệu tham khảo

Lin, 2017, The Medicare Access and CHIP Reauthorization Act: implications for nephrology, J Am Soc Nephrol, 28, 2590, 10.1681/ASN.2017040407 Cheng, 2020, Four years into MACRA: what has changed?, Semin Dial, 33, 26, 10.1111/sdi.12852 Muntner, 2020, Trends in blood pressure control among US adults with hypertension, 1999-2000 to 2017-2018, JAMA, 324, 1190, 10.1001/jama.2020.14545 Murphy, 2019, Trends in angiotensin-converting enzyme inhibitor and angiotensin II receptor blocker use among those with impaired kidney function in the United States, J Am Soc Nephrol, 30, 1314, 10.1681/ASN.2018100971 Tuttle, 2019, Clinical characteristics of and risk factors for chronic kidney disease among adults and children: an analysis of the CURE-CKD registry, JAMA Netw Open, 2, 10.1001/jamanetworkopen.2019.18169 Mefford, 2019, Trends in statin use among US adults with chronic kidney disease, 1999–2014, J Am Heart Assoc, 8 2020 Tummalapalli, 2021, The COVID-19 pandemic converges with kidney policy transformation: implications for CKD population health, Am J Kidney Dis, 77, 268, 10.1053/j.ajkd.2020.10.004 Khullar, 2020, Association between patient social risk and physician performance scores in the first year of the Merit-Based Incentive Payment System, JAMA, 324, 975, 10.1001/jama.2020.13129 Johnston, 2020, Association of clinician health system affiliation with outpatient performance ratings in the Medicare Merit-based Incentive Payment System, JAMA, 324, 984, 10.1001/jama.2020.13136 MacLean, 2018, Time out—charting a path for improving performance measurement, N Engl J Med, 378, 1757, 10.1056/NEJMp1802595 Mendu, 2020, Measuring quality in kidney care: an evaluation of existing quality metrics and approach to facilitating improvements in care delivery, J Am Soc Nephrol, 31, 602, 10.1681/ASN.2019090869 2020, Medicare program; specialty care models to improve quality of care and reduce expenditures, Fed Regist, 85, 61114 Schneider, 2017, Improve quality, control spending, maintain access—can the Merit-Based Incentive Payment System deliver?, N Engl J Med, 376, 708, 10.1056/NEJMp1613876 Spivack, 2018, No permanent fix: MACRA, MIPS, and the politics of physician payment reform, J Health Politics Policy Law, 43, 1025, 10.1215/03616878-7104431 Jann, 2014, Plotting regression coefficients and other estimates, Stata J., 14, 708, 10.1177/1536867X1401400402 Association of American Medical Colleges. Active physicians in the largest specialties, 2017. Source: AMA Physician Masterfile (December 2017). Accessed December 1, 2020. https://www.aamc.org/data-reports/workforce/interactive-data/active-physicians-largest-specialties-2017 Rathi, 2019, First-year report cards from the Merit-Based Incentive Payment System (MIPS): what will be learned and what next?, JAMA, 321, 1157, 10.1001/jama.2019.1295 Wakefield, 2004 Anderson, 2019, ACO affiliated hospitals increase implementation of care coordination strategies, Med Care, 57, 300, 10.1097/MLR.0000000000001080 Hearld, 2019, The adoption and spread of hospital care coordination activities under value-based programs, Am J Manag Care, 25, 397 Hefner, 2016, Meaningful engagement of ACOs with communities, Med Care, 54, 970, 10.1097/MLR.0000000000000622 Chen, 2020, Variation of hospital-based adoption of care coordination services by community-level social determinants of health, Health Care Manag Rev, 45, 332, 10.1097/HMR.0000000000000232 Wu, 2016, Using health information technology to manage a patient population in accountable care organizations, J Health Organization Manag, 30, 581, 10.1108/JHOM-01-2015-0003 Chu, 2020, CKD awareness among US adults by future risk of kidney failure, Am J Kidney Dis, 76, 174, 10.1053/j.ajkd.2020.01.007 Crosson F, Bloniarz K, Glass D, Mathews J. MedPAC’s urgent recommendation: eliminate MIPS, take a different direction. Health Affairs Blog. 2018. Accessed January 1, 2021. https://www.healthaffairs.org/do/10.1377/hblog20180309.302220/full/. Congress Should Replace Medicare’s Merit-Based Incentive Payment System. Health Affairs Blog. 2018. Accessed January 1, 2021. https://www.healthaffairs.org/do/10.1377/hblog20180222.35120/full/. Casalino, 2016, US physician practices spend more than $15.4 billion annually to report quality measures, Health Aff, 35, 401, 10.1377/hlthaff.2015.1258 Sandhu, 2020, Health Aff, 39, 1495, 10.1377/hlthaff.2020.00440 Liao JM, Navathe AS. Does the Merit-Based Incentive Payment System disproportionately affect safety-net practices? JAMA Health Forum. 2020: Accessed January 1, 2021. American Medical Association. p. e200452-e. https://jamanetwork.com/journals/jama-health-forum/fullarticle/2766082. McCarthy, 2019, Association of the new peer group-stratified method with the reclassification of penalty status in the hospital readmission reduction program, JAMA Netw Open, 2, 10.1001/jamanetworkopen.2019.2987