Healthcare Economist October 4, 2021
The Government Accountability Office (GAO) last week published a report evaluating the Merit-based
Incentive Payment System (MIPS). MIPS is an approach for CMS to pay physicians caring for Medicare beneficiaries based not just on volume but on value. MIPS evaluates provider value along four dimensions: (1) quality, (2) improvement activities, (3) promoting interoperability, and (4) cost. Below I summarize the report including background on the MIPS program, the results of the GAO evaluation of MIPS scores and bonus payments, and summary of stakeholder feedback.
MIPS PROGRAM BACKGROUND
- Exemptions. Some providers can be exempt from MIPS, typically if they have smaller practices. This is for two reasons: first the burden of MIPS reporting is more burdensome to small providers (due to...
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Topics: CMS, GAO, Govt Agencies, Insurance, MACRA, Medicare, Payment Models, Provider, Survey / Study, Trends, Value Based