Pay for Performance

Pay for performance Pay-for-Performance (P4P) initiatives have been established by employers, insurers, the state legislature, and federal agencies. The MMA has led efforts to monitor and evaluate P4P programs in order to assure they are fair, meaningful, and do not pose significant administrative burdens on Minnesota’s physician clinics.

MMA Policy: Pay for Performance principles

MMA Review: Pay for Performance Measure Alignment (April 2014)

MMA Review: Pay for Performance Measure Alignment (March 2011)

MMA Review: Pay for Performance Measure Alignment (May 2010)

MMA Report: Pay for Performance: A review of P4P in Minnesota (2007)

Fact Sheet: Pay for Performance in Minnesota

Minnesota Bridges to Excellence (BTE) The Buyers Health Care Action Group administers Minnesota BTE—a financial rewards program for providers who achieve optimal outcomes for patients with diabetes, cardiovascular disease, and depression—on behalf of Minnesota employers.

Minnesota Quality Incentive Payment System The 2008 Health Reform Law called for a statewide system of quality-based incentive payments to health care providers. The incentive payment system must be implemented for state employees and enrollees in state public insurance programs by July 1, 2010.

Physician Quality Reporting System (PQRS) (formerly PQRI) Get the latest information on the Centers for Medicare and Medicaid Services (CMS), and the Physicians Quality Reporting System (PQRS), including measures, reporting requirements, provider resources.

MN Community Measurement registry for CMS Physician Quality Reporting System (PQRS) MN Community Measurement is making it easier for physicians to participate in CMS PQRS pay for performance program that pays bonuses to doctors who report quality data. Eligible professionals can participate by submitting their data to MN Community Measurement.

Physician Quality Reporting System (PQRS) Tools and Resources Tools for PQRS data collection and reporting developed by the AMA-convened Physician Consortium for Performance Improvement® (PCPI).

Medicare's E-Prescribing Incentive Program The Medicare Electronic Prescribing Incentive Program (eRx) provided payment adjustments and incentives for eligible professionals based on ability to report G-codes for eRx events. This incentive and payment adjustment program ends December 31, 2014.

For more information, contact Janet Silversmith at 612-362-3763.