It’s Difficult to Use Claims Databases to Measure the Value of Neurological Care

Health care reimbursement is moving from volume-based fee-for-service to value-based systems. Value is defined as (quality + patient experience) divided by cost. This shift from volume to value is the central innovation of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Both pathways of MACRA’s Medicare Quality Payment Program (QPP), the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), preferentially reward high quality, low cost care.

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