Historic Physician Quality and Reporting System Reporting by Radiologists: A Wake-up Call to Avoid Penalties Under the Medicare Access and CHIP Reauthorization Act (MACRA) |
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| Affiliation: | 1. Department of Radiology, NYU Langone Medical Center, New York, New York;2. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia;3. Hackensack Radiology Group, P.A., River Edge, New Jersey;1. Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts;2. Welch Medical Library, Johns Hopkins University, Baltimore, Maryland;3. Department of Radiology, Johns Hopkins University, Baltimore, Maryland;1. Department of Radiology, NYU School of Medicine, NYU Langone Medical Center, New York, New York;2. Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, Georgia;1. Department of Radiation Oncology, University of Mississippi Medical Center, Jackson, Mississippi;2. Division of Radiation Oncology Physics, University of Mississippi Medical Center, Jackson, Mississippi;1. University of Colorado School of Medicine, Aurora, Colorado;2. Departments of Radiology and Medicine, Columbia University Medical Center, New York, New York;3. The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, Maryland;1. Department of Pediatrics, Duke University Medical Center, Durham, North Carolina;2. Department of Radiology, Duke University Medical Center, Durham, North Carolina |
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| Abstract: | PurposeThe Medicare Access and CHIP Reauthorization Act (MACRA) Quality performance category is the successor to the Physician Quality and Reporting System (PQRS) program and now contributes to physicians’ income adjustments based upon performance rates calculated for a minimum of six measures. We assess radiologists’ frequency of reporting PQRS measures as a marker of preparedness for MACRA.MethodsMedicare-participating radiologists were randomly searched through the Physician Compare website until identifying 1,000 radiologists who reported at least one PQRS measure. Associations were explored between the number of reported measures and radiologist characteristics.ResultsFor PQRS-reporting radiologists, the number of reported PQRS measures was 1 (25.2%), 2 (27.3%), 3 (18.2%), 4 (19.3%), 5 (8.3%), and 6 (1.7%). The most commonly reported measures were “documenting radiation exposure time for procedures using fluoroscopy” (64.3%) and “accurate measurement of carotid artery narrowing” (56.8%). Reporting at least two measures was significantly (P < .001) more likely for nonacademic (77.3%) versus academic (44.9%) radiologists, generalists (82.7%) versus subspecialists (59.1%), and radiologists in smaller (≤9 members) (84.7%) versus larger (≥100 members) (39.7%) practices. Reporting six measures was significantly (P < .05) more likely for generalists (2.6%) versus subspecialists (0.4%).ConclusionMost PQRS-reporting radiologists reported only one or two measures, well below MACRA’s requirement of six. Radiologists continuing such reporting levels will likely be disadvantaged in terms of potential payment adjustments under MACRA. Lower reporting rates for academic and subspecialized radiologists, as well as those in larger practices, may relate to such radiologists’ reliance on their hospitals or networks for PQRS reporting. Qualified clinical data registries should be embraced to facilitate more robust measure reporting. |
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| Keywords: | Radiologists quality performance assessment Medicare health policy |
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