The American healthcare payment system often employs a “carrot and stick” approach to reimbursements. Radiologists are expressing their frustration at implementing a value-based program as dictated by the Patient Protection and Affordable Care Act. Starting in 2015, physicians will face a 1.5% reimbursement reduction penalty for not meeting requirements, which could add up to more than just frustration.
According to a study published in the Journal of the American College of Radiology, a copy of which can be requested here, there are some startling trends emerging regarding Medicare’s Physician Quality Reporting System (PQRS) program. The data shows that, depending on the radiology specialty, incentive payments varied substantially. The average diagnostic radiology incentive payment was $2,811.39, while the average for radiation oncology was $12,704.38 in 2010.