Physician Perspectives: How the Merit-based Incentive Payment System Improves Value

AJMC April 6, 2021
Leah M. Marcotte, MD, Amol S. Navathe, MD, PhD, Lingmei Zhou, MS, Joshua M. Liao, MD, MSc

A national survey of physicians elicits beliefs regarding how the Merit-based Incentive Payment System domains drive value.

ABSTRACT

Objectives: To understand physician perspectives about drivers of value within the 4 domains—quality, improvement activities, promoting interoperability, and cost—of the Merit-based Incentive Payment System (MIPS).

Study Design: National web-based physician survey.

Methods: Those surveyed who believed that MIPS domain activities would improve value were asked about mechanisms—quality (structural quality, process quality, or outcome quality), patient experience, and/or cost—they believe would drive those improvements.

Results: Of 1431 physicians, 51% responded. Most believed that value would be improved by activities in the 4 MIPS domains of quality (55%), improvement activities (70%), promoting interoperability (54%), and cost (71%). Process quality was the most frequently selected...

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