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ABSTRACT: Background
Alternative payment models are common for both primary care providers and pharmacies. These models rely on quality measures to determine reimbursement, and pharmacists and primary care providers can contribute to performance on a similar set of medication-related measures. Therefore, payers need to decide which provider to incentivize for which measures when both are included in alternative payment models.Objectives
To explore the relative contribution of pharmacies and primary care group practices to a range of quality measures.Methods
This retrospective cross-sectional study used Medicare Part A, B, and D claims for a 20% random sample of Medicare beneficiaries for 2014-2016. Eight quality measures were selected from the Merit-based Incentive Payment Sy
SUBMITTER: Urick BY
PROVIDER: S-EPMC9418985 | biostudies-literature | 2022 Sep
REPOSITORIES: biostudies-literature