Publications by authors named "Aimee-Sandrine Uwilingiyimana"

Objective: To characterize the development and performance of a cataract surgery episode-based cost measure for the Medicare Quality Payment Program.

Design: Claims-based analysis.

Participants: Medicare clinicians with cataract surgery claims between June 1, 2016, and May 31, 2017.

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Importance: The Merit-based Incentive Payment System (MIPS), established as part of the Quality Payment Program, is a Medicare value-based payment program that evaluates clinicians' performance across 4 categories: quality, cost, promoting interoperability, and improvement activities. The cost category includes novel episode-based measures designed for targeted evaluation of the resource use of specific conditions. This report describes the development of episode-based cost measures and their role in the shift from volume-based to value-based purchasing.

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Medicare's Merit-based Incentive Payment System (MIPS) includes episode-based cost measures that evaluate Medicare expenditures for specific conditions and procedures. These measures compare clinicians' cost performance and, along with other MIPS category scores, determine Medicare Part B clinician payment adjustments. The measures do not include risk adjustment for social risk factors.

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