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December 20, 2017

CMS adds star ratings to Physician Compare website

Daily Briefing

    CMS on Thursday announced that it has updated its Physician Compare website to include 2016 data and new star ratings related to clinical quality.

    The website, which launched in February 2014, aims to help patients and caregivers make informed decisions about their health care providers.

    CMS updates data

    CMS in a release said the Physician Compare website will now display star ratings for a small subset of Physician Quality Reporting System (PQRS) group-level measures for 2016. According to CMS, the new star ratings will not appear for individual physicians, but only on "group profile pages" that show the overall performance of a physician practice. CMS said it also will post patient experience scores from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) surveys on the group pages, which are represented as a percentage—not as a star rating. According to CMS, the CAHPS score shows the percentage of patients who selected the most positive response categories on the surveys.

    CMS said individual physician pages would be updated with 2016 PQRS and on-PQRS Qualified Clinical Data Registry measures—though those data will not be represented as star ratings. According to CMS, the 2016 PQRS performance data is divided into eight categories:

    • Behavioral health;
    • Care planning;
    • Diabetes;
    • Heart disease;
    • Patient safety;
    • Preventive care: Cancer screening;
    • Preventive care: General health; and
    • Respiratory diseases.

    In addition, CMS said Physician Compare will include 2016 data from the Medicare Shared Savings Program, Pioneer Accountable Care Organization (ACO) Model, and the Next Generation ACO Model (Castellucci, Modern Healthcare, 12/14; Heath, Patient EngagementHIT, 12/15; CMS release, 12/14).

    Get the cheat sheets: How hospital quality ratings programs work

    Download our one page sheets for summaries on the methodology and metric categories used in five hospital quality rating programs:

    Get all the Cheat Sheets

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