With the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), the Center for Medicare and Medicaid Services (CMS) defined a path forward with value-based payments as an alternative to the failing fee for service model. To support this transition to the Merit- Based Incentive Payment System (MIPS) and alternative payment models (APM), such as the oncology care model, CMS deemed Patient Reported Outcomes Measures a key priority in the interest of measuring patient and caregiver experience.
Patient-reported outcomes (PROs), broadly defined, are any report of health status that comes directly from the patient, without interpretation of the patient’s response by a clinician or other third party. Patient Reported Outcomes – Applications of PROs include: shared decision making inputs, quality measures to improve healthcare services, measures of effectiveness in clinical trials, as outlined by FDA guidelines, and real world insights to improve access to care.
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