Development of Episode-Based Cost Measures for the US Medicare Merit-based Incentive Payment System

Author:

Duseja Reena1,Andress Joel1,Sandhu Alexander T.23,Bhattacharya Jay24,Lam Joyce2,Nagavarapu Sriniketh2,Nilasena David1,Choradia Nirmal25,Do Rose267,Feinberg Laurie2,Bounds Sam2,Leoung Jasmine2,Luo Binglie2,Swygard Amanda2,Uwilingiyimana Aimée-Sandrine2,MaCurdy Thomas289

Affiliation:

1. Center for Clinical Standards and Quality, Centers for Medicare & Medicaid Services, Baltimore, Maryland

2. Acumen LLC, Burlingame, California

3. Department of Medicine, Stanford University School of Medicine, Stanford, California

4. Center for Health Policy and Center for Primary Care and Outcomes Research, Department of Medicine, Stanford University, Stanford, California

5. Veterans Affairs Palo Alto Health Care System, Palo Alto, California

6. Department of Medicine, University of California Irvine, Irvine, California

7. Veterans Affairs Long Beach Health Care System, Long Beach, California

8. Department of Economics, Stanford University, Stanford, California

9. The Hoover Institution, Stanford University, Stanford, California

Publisher

American Medical Association (AMA)

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference32 articles.

1. Physician cost profiling—reliability and risk of misclassification.;Adams;N Engl J Med,2010

2. Grading a physician’s value—the misapplication of performance measurement.;Berenson;N Engl J Med,2013

3. The challenge of measuring surgeon spending for payment policies.;VonAchen;Ann Surg,2018

4. Clinician feedback on using episode groupers with Medicare claims data.;Thomas;Health Care Financ Rev,2010

5. Need for risk adjustment in adapting episode grouping software to Medicare data.;MaCurdy;Health Care Financ Rev,2009

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