CMS has released the 2015 Mid-Year Quality and Resource Use Reports (MYQRURs) to groups and solo practitioners nationwide, including those who participated in the Shared Savings Program, the Pioneer Accountable Care Organization (ACO) model, or the Comprehensive Primary Care (CPC) initiative in 2015.
The QRURs help practitioners understand how their quality performance and practice costs for Medicare beneficiaries compare to other practitioners for analysis in the Medicare Value-Based Payment Modifier (VBPM) program. The 2015 MYQRURs are for informational purposes only and contain data on the six cost and three quality outcomes measures that CMS extracts from Medicare claims based on care provided from July 1, 2014, through June 30, 2015, a period that precedes the actual calendar year 2015 performance period for the 2017 Value Modifier. Once the full-year 2015 data is calculated, it will be combined with the results from the 2015 Physician Quality Reporting System (PQRS) to calculate the 2017 VBPM.
While practitioners will not have an opportunity to change their 2015 data as highlighted in the MYQRURs, they can use the data to adjust how they are managing quality and costs for 2016 to avoid payment adjustments in 2018.
Need More Information?
More information about the MYQRUR can be found on the 2015 QRUR and 2017 Value Modifier web page.
The 2015 MYQRUR can be accessed on the CMS Enterprise Portal using an Enterprise Identity Management (EIDM) account. More information about obtaining a MYQRUR can be found on the How to Obtain a QRUR web page.
Or register for a MLN Connects Provider Call on 2015 Mid-Year QRURs at 1:30 p.m., Thursday, May 19, 2016. The call will provide an overview of the 2015 MYQRUR, information on understanding and using the 2015 MYQRURs, and a Question and answer session.
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