Association Between Maintenance of Certification Examination Scores and Quality of Care for Medicare Beneficiaries - American Board of Medical Specialties

The study examines the association between physician cognitive skills, measured by the American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) examination, and physician practice performance, defined by a set of quality measures produced by the Centers for Medicare and Medicaid Services (CMS) for patients with diabetes, patients requiring mammography screening, and patients with cardiovascular disease. Study findings for 3602 general internists suggest that top scoring (top quartile on the MOC examination) physicians are more likely to perform processes of care for diabetes patients (HbA1C and lipid screening and retinal examinations) and patients requiring mammography screening. However, the results indicate no significant association between lipid screening and examination scores for patients with cardiovascular disease (potentially explained by concomitant care by a cardiologist). Physician cohort is restricted to those certified between 1990 and 1995.

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