There is disagreement over what to replace it with.
MedPAC members are concerned that MIPS will not achieve its desired goals. The flexibility of the program, various options for how physicians can report measures and the broad exemptions for certain types of clinicians, has made it complex. There are also statistical challenges that stem from trying to develop individual-level performance scores, due to the relatively small case sizes for some providers, Health Leaders Media quotes David Glass, a principal policy analyst for MedPAC, telling the commission during its October meeting:
Everyone will seem to have high performance when in fact many of the measures are topped out or appear to be topped out … and that will limit Medicare’s ability to detect meaningful differences in clinician performance.
At a morning meeting, MedPAC staff members presented more details about a proposed replacement for MIPS called the Voluntary Value Program (VVP), and addressed concerns that commission members raised about the program at their last meeting.
But not everyone was a fan. HealthLeaders Media quotes David Nerenz, PhD, of the Henry Ford Health System in Detroit:
I have very serious concerns about the VVP proposal. You’re talking about serious social engineering in the structure of medical practice … without compelling evidence that the structure we’re talking about is good. Lots of us believe in it, but that’s not the same as evidence.
Read the story as reported in MedPage Today