{"id":327,"date":"2017-11-02T00:00:00","date_gmt":"2017-11-02T00:00:00","guid":{"rendered":"https:\/\/eccovia.com\/index.php\/2017\/11\/02\/out-with-the-old-in-with-the-new-mips-replacement-on-the-way\/"},"modified":"2024-03-13T18:56:16","modified_gmt":"2024-03-13T18:56:16","slug":"out-with-the-old-in-with-the-new-mips-replacement-on-the-way","status":"publish","type":"post","link":"https:\/\/eccovia.com\/blog\/out-with-the-old-in-with-the-new-mips-replacement-on-the-way\/","title":{"rendered":"Out With the Old and in With the New – Is a MIPS Replacement on the Way?"},"content":{"rendered":"
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Recently, on October 5, the Medicare Payment Advisory Commission (MedPAC) called for the cancellation of MIPS, the Merit-Based Incentive Payment System. This was done in direct response to feedback CMS received about the complexity of the Quality Payment Program (QPP). MedPAC proposed that in its place, a voluntary value program should be adopted. While a complete MIPS repeal would require congressional approval, CMS CMO Kate Goodrich said that its current elements can be modified without completely changing the law.<\/span><\/p>\n

MedPAC\u2019s reasoning for eliminating MIPS was based on evidence that the current system places high burdens on clinicians, includes compliance requirements that are far too complex, and that it simply has failed to prove a significant benefit resulting in high-value care. Additionally, MedPAC was concerned that the system was structured in such a way that it would make it difficult to detect and monitor future performance. A full analysis of their reasoning can be read in their June 2017 report recommending CMS simplify MIPS reporting requirements.<\/p>\n

Maximizing Clinician Scores<\/h3>\n

In the commission\u2019s own words, \u201cMIPS is structured to maximize clinician scores.\u201d MedPAC also asserted that MIPS scoring is inequitable across clinicians since clinicians are able to choose their own measures. The commission, however, is not modifying their overall goals of improving quality and care. Recognizing that MIPS has failed to live up to their expectations, they are proposing a new approach to help meet their goals. They stated that their new approach should:<\/p>\n