MIPS on track to be SGR 2.0 if not fixed, doctors say

The CMS is attempting to undermine Congress’ work to help doctors move to value-based care, leaders from key medical societies claimed to House lawmakers on Thursday.

In a hearing before the U.S. House of Representatives’ Energy and Commerce committee’s health subcommittee, physicians claimed that the CMS has let too many doctors sit out of reporting to the Merit-based Incentive Payment System (MIPS) and that the agency has yet to adopt any alternative pay models recommended by the Physician-Focused Payment Model Technical Advisory Committee (PTAC).

Dr. Ashok Rai, AMGA board chair and CEO of Prevea Health, said if the CMS doesn’t reverse course on its opt-out policy, MIPS will be no better than the much-maligned sustainable growth rate formula...