Medscape March 16, 2018
Medicare’s fledgling Merit-based Incentive Payment System (MIPS) would incorporate the same drawbacks of earlier approaches for pegging physician reimbursement to judgments about quality of care, with the potential for large bonuses for certain clinicians eroding the incentive to join more challenging models intended to improve patient care, an influential federal panel said Thursday.
In its March report to Congress, the Medicare Payment Advisory Commission (MedPAC) put forward its full case for ending the fledgling MIPS program. MedPAC argues that MIPS will fail to deliver the desired improvements in quality of care because of flaws in its design, such as a lack of comprehensive measures to assess low-value care.
The panel also suggested that MIPS could inadvertently work against efforts to...