Is MIPS missing the mark?

Medical Economics December 7, 2022
Jeffrey Bendix

Study shows program not always accurate in identifying doctors who deliver high-quality care

How good is Medicare’s Merit-based Incentive Payment Program (MIPS) at measuring the quality of care doctors provide? Not very, according to results of a new study.

Introduced in 2017 as a replacement for three previous quality measurement programs, MIPS’s goal was to improve patient care by financially rewarding or penalizing doctors according to their performance on specific “process” and “outcome” metrics in four broad areas: cost, quality, improvement activities, and promoting interoperability.

Participating doctors choose six metrics to report, one of which must be an outcome measure such as hospital admission for a specific illness or condition. MIPS is now the nation’s largest value-based payment program.

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