Notice: This CMS-approved document has been submitted - Philips ...

CMS-1403-FC
measures in CMS’ VBP initiatives; and (2) provide feedback
and education to encourage more efficient provision of
services. The Mathematica contract contains the following
tasks: (1) development of resource use measures based on
both an episode of care (ETG & MEG) and per capita
analysis; (2) risk adjustment of Medicare FFS claims data
for patient severity of illness; (3) development of
methodologies to attribute both episodes and total cost of
care for a beneficiary to individual physicians and
multiple physicians; (4) development of benchmarks for peer
comparison; (5) populate RURs with Medicare FFS data for
several medical specialties; (6) recruit physicians to
confidentially share the feedback reports; and (7) submit
all documentation and production programming logic to allow
for a possible national dissemination of RURs to
physicians. The work performed and derived from this
contract is the basis for establishing the program required
under section 1848(n) of the Act, which we will refer to as
the “Physician Resource Use Feedback Program.”
The Physician Resource Use Feedback Program will
consist of multiple phases. Under this approach, each
phase of the program will inform future phases of the
Program. The tasks listed above comprise phase I of the
feedback program. To date, CMS has disseminated RURs in
793