Brookings Economist: No Evidence MIPS’ Benefits Justify Its Substantial Costs

Healthcare Innovation October 20, 2023
David Raths

In written testimony to the U.S. Senate Budget Committee, Matthew Fiedler, Ph.D., suggests replacing MIPS with small, targeted incentives for practices to undertake specific high-value activities

In recent testimony to the U.S. Senate Budget Committee, a Brookings Institution economist described some potential reforms that he said could reduce healthcare administrative costs with few substantive downsides, including eliminating Medicare’s Merit-Based Incentive Payment System (MIPS), which he argued places large reporting burdens on clinicians with few benefits.

In written testimony dated Oct. 18, Matthew Fiedler, Ph.D., the Joseph A. Pechman Senior Fellow in Economic Studies at the Brookings Schaeffer Initiative on Health Policy, began by describing how MIPS adjusts most clinicians’ Medicare payments upward or downward based on their performance in several...

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