Public and private payers want physicians to prove they’re providing high-quality, cost-efficient care. Through profiling, or designation programs, private payers are rating doctors, largely using claims data, and putting those designations on their websites. The Colorado Medical Society has been working with health plans to develop a fair and consistent process for these programs.
Medicare also is making data from the Physician Quality Reporting System (PQRS) available online. And an effort is also underway to utilize an All-Payer Claims Database, which would compile data from all public and private payers. These efforts make it more important than ever that physicians be able to track and use their own data.
One of CMS’ five goals is “turning data into intelligence” and we recognize that by owning, using and sharing data, physicians will both improve care and demonstrate their ability to provide high quality and cost-effective care.