Changes to the end-stage renal disease quality incentive program

Kidney Int. 2012 Jun;81(12):1167-71. doi: 10.1038/ki.2012.138. Epub 2012 Apr 25.

Abstract

Monitoring the quality of dialysis care has long been a component of the Medicare ESRD program. As part of the 2008 Medicare Improvements for Patients and Providers Act (MIPPA), Congress mandated the Quality Incentive Program (QIP), which linked measures of care quality to payments. The legislation embraced the idea that this linkage of federal money to performance would encourage the purchase of greater 'value.' The first 2 program years for the QIP use a simple scoring methodology and a limited scope of quality metrics. For payment year 2014 (performance period calendar year 2012), the program changes substantially, with an expanded number of quality measures and a more complex scoring methodology. In this article, we describe the program structure, quality measures, scoring system, and financial impact.

MeSH terms

  • Benchmarking / economics
  • Centers for Medicare and Medicaid Services, U.S. / economics*
  • Centers for Medicare and Medicaid Services, U.S. / legislation & jurisprudence
  • Centers for Medicare and Medicaid Services, U.S. / standards
  • Delivery of Health Care / economics*
  • Delivery of Health Care / legislation & jurisprudence
  • Delivery of Health Care / standards
  • Financing, Government
  • Government Regulation
  • Health Care Costs
  • Health Policy / economics
  • Humans
  • Kidney Failure, Chronic / diagnosis
  • Kidney Failure, Chronic / economics
  • Kidney Failure, Chronic / therapy*
  • Outcome and Process Assessment, Health Care / economics*
  • Outcome and Process Assessment, Health Care / legislation & jurisprudence
  • Outcome and Process Assessment, Health Care / standards
  • Practice Guidelines as Topic
  • Program Development
  • Quality Improvement / economics*
  • Quality Improvement / legislation & jurisprudence
  • Quality Improvement / standards
  • Quality Indicators, Health Care / economics*
  • Quality Indicators, Health Care / legislation & jurisprudence
  • Quality Indicators, Health Care / standards
  • Reimbursement, Incentive* / legislation & jurisprudence
  • Reimbursement, Incentive* / standards
  • Renal Dialysis / economics*
  • Renal Dialysis / standards
  • Treatment Outcome
  • United States