Radiologist Group Performance Reporting: Power in Numbers

Abstract

PurposeRadiologists have historically participated as individuals in CMS pay-for-performance programs, but little is known about how radiologists perform under increasingly available group participation. We aimed to assess radiologists’ relative national performance on CMS quality metrics using group versus individual participation. MethodsRadiologists’ group- and individual-level 2016 performance on Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR) measures were obtained from the CMS national Physician Compare database and compared. ResultsRadiology groups reported an average 4.6 ± 2.0 quality measures; individual radiologists reported 2.3 ± 1.2 (P < .001). At least six measures were reported by 31.5% of groups versus 1.0% of individuals. Only one measure was reported by 5.4% of groups versus 33.0% of individuals. Groups reported 21 unique measures (20 via registries and one via QCDR). For 8 of the 11 measures reported by 20 or more groups, the average group performance rate was 3% or better than the average performance rate among radiologists participating as individuals (maximum 14% improvement with group participation versus individual participation for any individual measure). Group and individual performance were similar for the remaining three such measures. For measures reported by 20 or more groups in which a higher score indicates better performance, average group performance rates ranged from 86.2% to 98.9%. ConclusionCompared with individual participation in CMS quality performance programs, radiologists participating as a group reported larger numbers of quality measures and achieved higher performance rates on those measures. Radiology practices seeking success under Medicare’s new Quality Payment Program should carefully explore group participation.