Life Science Compliance Update

« Previous article | Home| Next article »

March 08, 2018

CMS Updates Physician Compare to Include 2016 Data and Star Ratings


CMS announced that it has updated its Physician Compare website to include 2016 data and new star ratings related to clinical quality. The first quality measures were added to Physician Compare in February 2014. Since then, CMS has continued a phased approach to public reporting.

2016 Performance Information on Physician Compare

Beginning in December of 2017, CMS started to publicly report certain 2016 performance information on Physician Compare. The information was designated as available for public reporting in the 2016 Physician Fee Schedule final rule. According to CMS, the primary audience for profile pages is patients and caregivers. On the profile pages, groups may have the following measures reported: a subset of 2016 Physician Quality Reporting System (PQRS) measures reported as star ratings; Consumer Assessment of Healthcare Providers and Systems (CAHPS) for PQRS summary survey measures; and/or non-PQRS Qualified Clinical Data Registry (QCDR) measures.

The measures now included on Physician Compare profile pages represent a variety of types of clinical care by groups representing many different specialties. The 2016 PQRS performance information is divided into eight different categories, ranging from general care to more specialized care.

The categories include:

  • Preventive care: General health
  • Preventive care: Cancer screening
  • Patient safety
  • Care planning
  • Diabetes
  • Heart disease
  • Respiratory diseases
  • Behavioral health

In addition to the measures being reported for groups and individual clinicians, 2016 data for the Shared Savings Program, Pioneer, and Next Generation Accountable Care Organizations (ACOs) are now also publicly reported on Physician Compare.

Star Ratings on Physician Compare

When public reporting performance information began in 2014, CMS started with a small subset of group-level Web Interface measures. Now with the use of star ratings, CMS is restarting its phased approach for the use of star ratings with just a small subset of group-level measures. For the first time this year as part of the continued phased approach to public reporting, CMS has publicly reported a small subset of 2016 PQRS group-level measures on group profile pages as star ratings.

How the Star Rating is Constructed

After extensive research and outreach, and hearing what stakeholders wanted to see in a benchmark and understanding the concerns and cautions raised, CMS proposed an item-level (or measure-level) benchmark using the Achievable Benchmark of Care (ABC) methodology. This benchmark was finalized in the CY 2016 Physician Fee Schedule final rule. The ABC benchmark is the “5-star rate,” serving as the anchor for the star rating methodology.

More Information

Clinicians can visit the CMS Physician Compare Initiative page for information on keeping their general information current and troubleshooting problems, and to learn more about public reporting. For questions about public reporting and keeping information current, the Physician Compare support team can be reached at

« Previous article | Home| Next article »


Feed You can follow this conversation by subscribing to the comment feed for this post.

Verify your Comment

Previewing your Comment

This is only a preview. Your comment has not yet been posted.

Your comment could not be posted. Error type:
Your comment has been saved. Comments are moderated and will not appear until approved by the author. Post another comment

The letters and numbers you entered did not match the image. Please try again.

As a final step before posting your comment, enter the letters and numbers you see in the image below. This prevents automated programs from posting comments.

Having trouble reading this image? View an alternate.


Post a comment

Comments are moderated, and will not appear until the author has approved them.


Preview | Powered by FeedBlitz


March 2018
Sun Mon Tue Wed Thu Fri Sat
1 2 3
4 5 6 7 8 9 10
11 12 13 14 15 16 17
18 19 20 21 22 23 24
25 26 27 28 29 30 31