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Health Policy Basics: Physician Quality Reporting SystemHealth Policy Basics: Physician Quality Reporting System

Michelle K. Koltov, MPH; and Nitin S. Damle, MD
[+] Article and Author Information

This article was published online first at www.annals.org on 24 June 2014.

From American College of Physicians, Washington, DC, and South County Internal Medicine, Wakefield, Rhode Island.

Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-0786.

Requests for Single Reprints: Michelle K. Koltov, MPH, American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001; e-mail, mkoltov@mail.acponline.org.

Current Author Addresses: Ms. Koltov: American College of Physicians, 25 Massachusetts Avenue NW, Suite 700, Washington, DC 20001.

Dr. Damle: South County Internal Medicine, 481 Kingstown Road, Wakefield, RI 02879.

Author Contributions:Conception and design: M.K. Koltov, N.S. Damle.

Analysis and interpretation of the data: M.K. Koltov, N.S. Damle.

Drafting of the article: M.K. Koltov, N.S. Damle.

Critical revision of the article for important intellectual content: M.K. Koltov, N.S. Damle.

Final approval of the article: M.K. Koltov, N.S. Damle.

Administrative, technical, or logistic support: M.K. Koltov, N.S. Damle.

Collection and assembly of data: M.K. Koltov, N.S. Damle.

Ann Intern Med. 2014;161(5):365-367. doi:10.7326/M14-0786
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The U.S. health care system is in the midst of transforming from a fee-for-service system to a value-based system that delivers high-quality and cost-effective care. Quality reporting programs and increasing transparency of performance are meant to encourage physicians and hospitals to invest in improving the delivery of care. In 2006, the Centers for Medicare & Medicaid Services implemented the Physician Quality Reporting System (PQRS). The PQRS is an incentive and penalty payment program for eligible professionals who report data on quality measures for covered professional services furnished to Medicare beneficiaries. The program gives eligible professionals the opportunity to assess the quality of care they are providing to their patients and compare their performance on a given measure with that of their peers. This article discusses the history of PQRS, the 2014 PQRS, and how it affects other quality programs.





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