American Hospital Association March 14, 2018
The second year of the Merit-based Incentive Payment System (MIPS) required by the Medicare Access and CHIP Reauthorization Act (MACRA) began on Jan. 1. Yet last month, the Medicare Payment Advisory Commission (MedPAC) voted to recommend that Congress repeal the MIPS and replace it with a new “voluntary value program” (VVP). MedPAC suggests that MIPS is burdensome, inequitable, and too complex and thus “cannot succeed.” But is it really time to scrap the MIPS barely one year into implementation?
Would the VVP Work?
While MedPAC’s recommendation lacks some details, the proposed framework for the VVP would incentivize clinicians to move toward advanced alternative payment models (A-APMs) by limiting potential bonuses in fee-for-service Medicare. Clinicians not in an A-APM would have...
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