PENALTIES ADD UP


This year, Medicare’s quality reporting initiatives shift to penalties for physicians who don’t participate or don’t meet the criteria for the programs. Here’s how the penalties tacked on to your Medicare fees could stack up.


Physician Quality


Meaningful Use of Electronic


Year 2015


Health Records -1% to -2%


Reporting System (PQRS)*


-1.5%


Value-Based Payment Modifier*


-1%


Groups of 100 or more based on 2013 data


2016 -2% -2% -2%


Groups of 10 or more based on 2014 data


2017 -3% -2% -4%


All physicians based on 2015 data


2018 -4% -2% n/a† Based on 2016 data -2% -12% or more -2% -11% -2% -8% Deficit


Reduction Sequester


-2% Total


Possible Payment Cuts


-5.5% to -6.5%


2019


-5%


-2%


n/a† Based on 2017 data


-2%


-13% or more


*Based on cost/quality data from two years prior. †Not available: Adjustments made in future years are determined by annual federal rulemaking.


Source: American Medical Association


April 2015 TEXAS MEDICINE 31


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