Khái niệm cốt lõi
Primary care physicians are required to track an excessive number of quality measures across multiple value-based care contracts, leading to an overwhelming administrative burden that may undermine the goals of value-based care.
Tóm tắt
The article discusses a JAMA Health Forum analysis that examined the number of quality measures primary care physicians in a large integrated health system were required to track across multiple value-based care contracts. The key findings include:
- Primary care physicians were required to track an average of 57 different quality measures across their value-based contracts.
- Medicare contracts had the highest number of quality measures, with an average of 13.42 measures, compared to 10.07 for commercial insurers and 5.37 for Medicaid.
- Physicians were part of an average of 11.18 value-based contracts, with the number growing from 9.39 in 2020 to 12.26 in 2022.
- The researchers were surprised by the high number of unique quality measures, as they expected payers to coordinate and align their requirements.
- Experts suggest that the excessive number of quality measures is demoralizing for physicians, as many of the measures are out of their control or may not be appropriate for certain patient populations.
- There is a need to consolidate and prioritize quality measures to a more manageable number that are meaningful, safe, and connected to outcomes that matter.
Thống kê
Primary care physicians were required to track an average of 57 different quality measures across their value-based contracts.
Physicians were part of an average of 11.18 value-based contracts, with the number growing from 9.39 in 2020 to 12.26 in 2022.
Medicare contracts had the highest number of quality measures, with an average of 13.42 measures, compared to 10.07 for commercial insurers and 5.37 for Medicaid.
Trích dẫn
"The magnitude of that number surprised us. Primary care physicians and their practices have a lot on their plate. Now we know that one of those things is a very large number of different quality metrics to pay attention to, measure, report on, and implement."
"Without coordination, the use of value-based contracts and quality measures at scale leads to many unique measures being used. This may reflect the fact that there are so many important tasks to do in primary care, and there's no consensus on which ones should be included in quality-based contracts."
"Trying to address 50-plus measures is impossible and demoralizing."