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Pay-for-performance program failures raise doubts about future success of MIPS | FierceHealthcare

Medicare’s Value-Based Payment Modifier Program, which was designed to improve value by paying doctors who perform better on measures of quality and spending, was a failure, and, in fact, likely exacerbated disparities in delivery, according to the study published in the Annals of Internal Medicine.

The payment system inadvertently shifted money away from doctors who treated sicker, poorer patients to pay bonuses that rewarded practices that treated richer, healthier patients, the study said.

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The Problem With ‘Pay for Performance’ in Medicine – The New York Times

The idea is intuitively appealing: Reward doctors for positive outcomes, not per procedure. But it doesn’t seem to work as well as hoped.

Source: The Problem With ‘Pay for Performance’ in Medicine – The New York Times