The PGP Demonstration program involved 10 group practices over the course of five years. Through the program, practices were eligible to receive incentive payments if they met certain quality and cost reduction targets. The 10 group practices were overall extremely successful at meeting quality targets over the first years, with eight of the 10 participants meeting the benchmark goal on all 32 quality measures in the fifth year of the program.
Practices had mixed success at generating sufficient savings to achieve incentive payments. While seven of the 10 participants earned incentives in at least one of the years, only two participants earned incentives in every year of the program. No more than 60 percent of group practices achieved incentive payments in any one year.
The program will be extended for two additional years, and all 10 original group practices will continue to participate.
Read more about the ASC Association.
Related Articles on CMS:
CMS Adds 4 Codes With Modifiers Subject to CLIA Edits
Texas Parkland Memorial Hospital’s Medicare Status Threatened, Cited as “Serious Threat” to Patient Safety
CMS to Add Covered Diagnosis Codes for PT Testing
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
