We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Oncologist Participation and Performance in the Merit-Based Incentive Payment System.
- Authors
Patel, Vishal R; Cwalina, Thomas B; Gupta, Arjun; Nortjé, Nico; Mullangi, Samyukta; Parikh, Ravi B; Shih, Ya-Chen Tina; Hussaini, S M Qasim
- Abstract
The merit-based incentive payment system (MIPS) is a value-based payment model created by the Centers for Medicare & Medicaid Services (CMS) to promote high-value care through performance-based adjustments of Medicare reimbursements. In this cross-sectional study, we examined the participation and performance of oncologists in the 2019 MIPS. Oncologist participation was low (86%) compared to all-specialty participation (97%). After adjusting for practice characteristics, higher MIPS scores were observed among oncologists with alternative payment models (APMs) as their filing source (mean score, 91 for APMs vs. 77.6 for individuals; difference, 13.41 [95% CI, 12.21, 14.6]), indicating the importance of greater organizational resources for participants. Lower scores were associated with greater patient complexity (mean score, 83.4 for highest quintile vs. 84.9 for lowest quintile, difference, −1.43 [95% CI, −2.48, −0.37]), suggesting the need for better risk-adjustment by CMS. Our findings may guide future efforts to improve oncologist engagement in MIPS.
- Subjects
CONFIDENCE intervals; KEY performance indicators (Management); MOTIVATION (Psychology); CROSS-sectional method; VALUE-based healthcare; CENTERS for Medicare &; Medicaid Services (U.S.); LABOR incentives; DESCRIPTIVE statistics; CLINICAL medicine; PROSPECTIVE payment systems; PAY for performance; RISK management in business; MEDICARE; CANCER patient medical care; ONCOLOGISTS
- Publication
Oncologist, 2023, Vol 28, Issue 4, pe228
- ISSN
1083-7159
- Publication type
Article
- DOI
10.1093/oncolo/oyad033