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Details for Alternative Approaches to Measuring Physician Resource Use

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Title	Alternative Approaches to Measuring Physician Resource Use
Project Number	HHSM-500-2005-00027I/04
Project Officr(s)	Craig Caplan
Start Date	September 2008
End Date	May 2011
Funding	$1,499,979.00
Award	Task Order (RADSTO)
Principal Investigator(s)	David Knutson
Awardee Name	University of Minnesota
Awardee Street	450 Gateway Building, 200 Oak Street SE
Awardee City/State/Zip	Minneapolis, MN 55455
Description	CMS and others in the policy community have been increasingly interested in moving to a value based purchasing (VBP) system for physicians under traditional fee-for-service Medicare. Under VBP, physicians' payments would depend on the "value" of services provided; physicians who routinely use relatively few resources while maintaining adequate quality would receive larger payment updates than physicians providing similar or lower quality at with more resources. CMS and other groups have focused on the use of commercially developed episode groupers to measure resource use, but little peer reviewed literature that evaluates these groupers exists, and few studies have examined feasible alternatives in Medicare. The purpose of this task order is to suggest and develop alternative approaches to the commercial episode grouper-based physician resource use measures and to examine issues related to implementation of these approaches.
Status	Project work is underway. The contractor is preparing for formal kickoff meeting and analysis plans.


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