Health Affairs October 29, 2018
Through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), Medicare’s nationwide Quality Payment Program (QPP) aims to reward or penalize clinicians through reimbursement adjustments based on the value of care. The QPP offers two participation options – the Merit-Based Incentive Payment System (MIPS) track and the Advanced Alternative Payment Models (AAPM) track – that seek to shift clinicians and organizations towards value-based payments but differ with respect to program rules and requirements, financial risk, and organizational strategy. How should clinicians and health systems choose between these two tracks?
One key consideration is the potential financial upsides and downsides of each track. However, because MIPS scoring methodology is complex and incorporates a number of factors, clinicians’ ultimate professional fee...
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