Primary Care Physicians in the Merit-Based Incentive Payment System (MIPS): a Qualitative Investigation of Participants' Experiences, Self-Reported Practice Changes, and Suggestions for Program Administrators

Journal of General Internal Medicine
Carl T BerdahlTeryl K Nuckols

Abstract

While both administrators of pay-for-performance programs and practicing physicians strive to improve healthcare quality, they sometimes disagree on the best approach. The Medicare Access and CHIP Reauthorization Act of 2015 mandated the creation of the Merit-Based Incentive Payment System (MIPS), a program that incentivizes more than 700,000 physician participants to report on four domains of care, including healthcare quality. While MIPS performance scores were recently released, little is known about how primary care physicians (PCPs) and their practices are being affected by the program and what actions they are taking in response to MIPS. To (1) describe PCP perspectives and self-reported practice changes related to quality measurement under MIPS and (2) disseminate PCP suggestions for improving the program. Qualitative study employing semi-structured interviews. Twenty PCPs trained in internal medicine or family medicine who were expected to report under MIPS for calendar year 2017 were interviewed between October 2017 and June 2018. Eight PCPs self-reported to be knowledgeable about MIPS. Seven PCPs worked in small practices. Most PCPs identified advantages of quality measurement under MIPS, including the creation of pra...Continue Reading

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Citations

Jul 30, 2020·Pharmacy : Journal of Pharmacy, Education and Practice·Amanda R MercadanteAnandi V Law
Mar 26, 2021·The Journal of Bone and Joint Surgery. American Volume·Alexander J AcuñaAtul F Kamath
Apr 10, 2021·Journal of General Internal Medicine·Dhruv KhullarLawrence P Casalino
Jul 29, 2021·International Anesthesiology Clinics·Jonathan S GalGordon Morewood
Aug 11, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Cameron J GettelArjun K Venkatesh
Sep 21, 2021·Clinical Orthopaedics and Related Research·Thomas B CwalinaAtul F Kamath

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