MACRA: researchers suggest refinements, while a physician urges his colleagues to resist

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Takeaway
  • MIPS (Merit-Based Incentive Payment System), under which physicians not participating in a Medicare alternative payment model will be assessed and paid starting in 2019, needs some physician-friendly tweaks if it's to be accepted by clinicians, RAND researchers write in a healthcare blog. 
  • The performance measures in MIPS need clear clinical rationales, the system needs to incorporate risk adjustment to avoid penalizing providers who care for the most challenging patients, and the program's overseers must anticipate computer programming errors and fix them as quickly as possible.
Why this matters
  • Many physicians are skeptical about the Medicare Access and CHIP Reauthorization Act of 2016 (MACRA) and its quality measures, as...