Tag Archives: Merit-Based Incentive Payment System

The Many Problems With Medicare’s MIPS Exclusion Thresholds

If the Medicare Access and CHIP Reauthorization Act is ever to be a catalyst for change, the proposal to increase the exclusion thresholds is neither right nor effective.

August 3, 2017

Medicare’s Bundled Payment Programs Suffer From Fatal Flaws, But There Is A Logical Alternative

There is no silver bullet in payment reform but rather a series of alternatives that should be tested and evaluated to ensure that Medicare beneficiaries and the US public get the best possible outcome. That will not be the case with the current Bundled Payment for Care Improvement initiative.

May 9, 2017

As MACRA Implementation Proceeds, Changes Are Needed

MACRA threatens to push many providers out of fee-for-service before they have a safe place to land. Policy makers should consider both making the Merit-Based Incentive Payment System less onerous and greatly accelerating the development and implementation of viable alternative payment models.

April 21, 2017

MACRA Proposed Rule Creates More Problems Than It Solves

While HHS had the best intentions, the proposed rules are so abundant with flaws and weaknesses that it is very difficult to imagine how the program could ever be successfully implemented.

October 12, 2016

By Spinning Early Results, CMS May Be Undermining Payment Reform

The MSSP and Pioneer ACOs have generated a considerable number of valuable ideas and initiatives toward meaningful health care payment reform. However, a more detailed analysis shows that maybe the results are not as good as the recent report would have you believe.

October 7, 2016

Refining The Framework For Payment Reform

Moving from a system that rewards volume over value is a complicated and messy process. No method is ever implemented in isolation---either one at a time or in a vacuum---and many payment methods do not yet have a sufficient track record to help us prioritize among them.

September 19, 2016

The Roadmap To Physician Payment Reform: What It Will Take for All Clinicians to Succeed under MACRA

How the MACRA legislation is implemented will have a major impact not only on clinician payment but also on further developments in health care organizations, the way that they deliver care, and potentially the cost of care.

August 30, 2016

What Does A New Era Of Physician Accountability Mean For Patients?

Since roughly the year 2000, consensus has grown that no gains can be made in tackling our health care system's problems without changing the drivers of physician behavior. Quality measurement, financial incentives, and competition are three of the avenues MACRA employs to incentivize physicians.

April 26, 2016

New Health Policy Brief: Medicare’s New Physician Payment System

A new policy brief from Health Affairs and the Robert Wood Johnson Foundation (RWJF) provides a primer on the Medicare payment part of the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.

April 22, 2016

Moops?: A Roadmap To MIPS

MACRA replaced the Sustainable Growth Rate with annual 0.5 percent payment increases for each of the next five years. Under one track, MACRA streamlines certain Medicare quality initiatives that affect reimbursement under a unified system known as the Merit-Based Incentive Payment System (MIPS).

February 26, 2016