CMS Adds New Data to Comparison, Reporting Websites

December 19, 2014 in News

On Thursday, CMS added new care quality data to its reporting and comparison websites, EHR Intelligence reports (Bresnick, EHR Intelligence, 12/19).

The new data include:

  • 2013 physician performance results on diabetes and cardiovascular care for 139 group practices physicians, 214 Medicare Shared Savings Program participants and 23 Pioneer accountable care organizations;
  • Information on 2015 payment adjustments under the Hospital Value-Based Purchasing Program; and
  • Performance results on hospital-acquired conditions, such as pressure ulcers and accidental punctures (CMS blog, 12/18).

The information has been added to CMS’:

According to Modern Healthcare, CMS said it plans to continue to “significantly expand” the number of quality metrics reported on its Physician Compare website, noting that it will release more quality measures for individual doctors and physician groups in late 2015 (Robeznieks, Modern Healthcare, 12/18).

Patrick Conway, chief medical officer and deputy administrator of innovation and quality at CMS, said that the newly released data “will give patients and families additional information they can use to inform their selection of a hospital or physician practice” (EHR Intelligence, 12/19).

Advocates Urge Physicians To Adhere to Data Submission Schedule

In related news, physician advocates are encouraging doctors to adhere to deadlines to submit data to CMS’ Physician Quality Reporting System to avoid financial penalties, Modern Healthcare reports.

According to Modern Healthcare, the 2014 data that physicians report will be used to calculate their Medicare payments in 2016. For example, those who fail to meet CMS’ reporting requirements this year will be penalized 2%, receiving just 98% of the payment amount listed in the 2016 Medicare Physician Fee Schedule.

According to Modern Healthcare, physicians can submit data either individually or collectively as a group, but each method has a different timeline.

For example, doctors who use their certified electronic health record, a data-submission vendor or a qualified clinical-data registry to submit data must meet a Feb. 28, 2015, deadline. Meanwhile, group practices must submit their data by March 20, 2015, and providers submitting data through a specialty board-related maintenance of certification organization must do so by March 31, 2015.

Karen Ferguson, senior director for public policy at the American Medical Group Association, said, “I imagine that CMS is making an effort to be very explicit about the data submission deadlines because the penalty phase has begun.”

Allison Brennan, a senior advocacy adviser for the Medical Group Management Association, raised concerns about the multiple deadlines, saying “One thing to note is that, with all the different elements and all the different deadlines, it illustrates the growing complexity of the program.” She noted that physicians “need to be aware of the deadlines,” adding that “[t]hose relying on third-party vendors need to have a discussion to ensure their vendors can submit the data” (Modern Healthcare, 12/18).

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