The Business Case for Performance Measurement and Public Reporting of Quality Data
MHMC recognizes that measuring, reporting, and improving care requires considerable work for clinician practices, which already dedicate considerable effort and resources to deliver high quality care to their patients. That’s why it’s important to know that investing time and money into public reporting is going to pay off.
Practices benefit from public reporting in several ways:
Continuous Improvement: Practices that measure and report quality can use this data to continually improve the care they deliver.
Pay for Performance: The major commercial health plans and MaineCare use PTE or similar quality ratings in their pay-for-performance or incentive programs.
Value-based Insurance Design: Several Maine employers and health plan sponsors use PTE ratings as the basis for incentives offered to their employees and their dependents.
Alignment with Other Measurement Programs: MHMC continually works to align its PTE measures with other state and federal quality measures, such as those used in Medicare incentive programs. Recent changes being implemented by CMS include the new Quality Payment Program under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), which takes effect in 2017.