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Value-based Payment Modifier
According to the Patient Protection and Affordable Care Act, the modifier must be applied to all physicians and physician groups by January 1, 2017.
- Beginning in 2015 and based on performance in 2013 for groups of 100 or more eligible professionals
- Beginning in 2017 and based on performance in 2015 for all eligible professionals
- This is a pay for value (i.e., quality relative to cost) program– higher value gets higher pay; lower value gets lower pay