RT Journal A1 Mitka M T1 PRivate sector help JF JAMA JO JAMA YR 2013 FD February 13 VO 309 IS 6 SP 535 OP 535 DO 10.1001/jama.2013.468 UL http://dx.doi.org/10.1001/jama.2013.468 AB The report added that the Centers for Medicare & Medicaid Services (CMS) is taking steps to focus on group-level performance measurement and payment adjustments in the Value-Based Payment Modifier program, which was designed to adjust Medicare payments to physicians using performance data on the quality and cost of care provided. However, the CMS said it had yet to develop a method of reliably measuring the performance of physicians in small practices in the payment modifier program.