莫斯外科医生在2020年基于优点的激励支付系统中选择的绩效和质量衡量标准
1Both authors are affiliated with the Department of Dermatology, University of Connecticut, Farmington, Connecticut.
概括
大多数Mohs外科医生在2020年在基于优点的激励支付系统 (MIPS) 下实现了积极的支付调整. 许多人使用了皮肤病学特定的质量措施,表明他们成功地适应了以价值为基础的护理计划.
科学领域:
- 皮肤病学 皮肤病学
- 卫生政策 卫生政策
- 以价值为基础的护理
背景情况:
- 基于功绩的激励支付系统 (MIPS) 旨在将医疗保险支付转向基于价值的护理模式.
- 了解医生在MIPS中的参与和表现对于评估其有效性至关重要.
研究的目的:
- 评估MIPS计划内的莫斯外科医生的2020年表现.
- 分析莫斯外科医生为MIPS报告所选择的质量指标.
主要方法:
- 使用2020年医疗保险质量支付计划和B部分计费数据进行了回顾性分析.
- 这项研究审查了莫斯外科医生之间的绩效得分和质量测量选择.
主要成果:
- 2020年,有2,148名莫斯外科医生获得MIPS评分,其中大多数通过小组或个人参与.
- 超过77%的莫斯外科医生取得了符合积极支付调整的成绩,而22.3%的外科医生由于COVID-19豁免而有资格进行中性调整.
- 美国莫斯外科学院的会员和经验较少的外科医生更有可能达到特殊的绩效值.
- 皮肤病学或莫斯相关的质量测量主要是由个人莫斯外科医生和皮肤病学小组报告的.
结论:
- 大多数莫斯外科医生在2020年达到或超过MIPS绩效值,经常使用相关的质量指标.
- 需要进行进一步的研究,以将质量测量与患者的结果相关联,并完善皮肤病学的基于价值的支付政策.
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