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CAHPS for PQRS

Note: 2016 was the last program year for PQRS. PQRS transitioned to the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program. The final data submission timeframe for reporting 2016 PQRS quality data to avoid the 2018 PQRS downward payment adjustment was January through March 2017. The first MIPS performance period is January through December 2017. For more information, please visit the Quality Payment Program website. - Opens in a new window

Overview:  The CAHPS for PQRS survey was developed to collect information about patient experience and care within medical group practices participating in the Physician Quality Reporting System (PQRS).  The Physician Quality Reporting System (PQRS) is a quality reporting program that encourages individual eligible professionals (EPs) and group practices to report information on the quality of care they provide to Medicare.  The CAHPS for PQRS survey was first implemented in 2013 to large group practices (with 100 or more eligible professionals) that registered for the PQRS Group Practice Reporting Option (GPRO) and used the Web Interface to report their quality measures.  Implementation of the survey has expanded in subsequent years to include smaller group practices and group practices using GPRO methods other than the Web Interface. 

About the survey:  The CAHPS for PQRS survey is administered annually to a large sample of Medicare beneficiaries using a mixed mode data collection that includes two survey mailings and follow-up phone calls to non-respondents to the mailed questionnaire.  The survey includes the core questions contained in the CAHPS Clinician & Group Survey (Version 2.0), plus additional questions to measure access to and use of specialist care, experience with care coordination, patient involvement in decision-making, experiences with a health care team, health promotion and patient education, patient functional status, and general health.

Public reporting and policy relevance:  The CAHPS for PQRS survey is used by group practices to supplement their PQRS reporting and meet PQRS reporting requirements.  Each year, CMS will establish through rule making for which group practices the survey is required and for which group practices the survey is optional.  Additional information about the CAHPS for PQRS requirements can be found on the PQRS website.  Survey results may be used in the Physician Value Based Modifier (VM) Program, please visit the VM website for additional information.  CAHPS for PQRS survey results will be published on the Physician Compare website for the first time in late 2015.  Public reporting of CAHPS for PQRS survey results will allow Medicare beneficiaries to make objective and meaningful comparisons among medical group practices on areas of care that patients have identified as being important to them. 

For more information, please visit the CAHPS for PQRS website: http://www.pqrscahps.org/.  You may also contact the CAHPS for PQRS project team at pqrscahps@hcqis.org.

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