Complex Patient Scores Meaningfully Affect 2022 Medicare Merit-Based Incentive Payment System Bonus Payments for Orthopedic Surgeons.

ABSTRACT:

Introduction

The Merit-Based Incentive Payment System (MIPS) affects Medicare reimbursements for over 600,000 clinicians, including ~ 15,000 orthopedic surgeons in the United States. MIPS policies are rapidly evolving, yet limited research exists to guide orthopedic surgeons in optimizing performance. This study evaluates whether recent MIPS policy changes have led to increased payment adjustments for orthopedic surgeons and examines the role of MIPS in enhancing care quality.

Methods

A retrospective analysis of 2021-2022 MIPS performance data from nearly 9000 orthopedic surgeons assessed the impact of policy changes on payment adjustments using McNemar's test and mixed effects logistic regression.

Results

Raising the MIPS performance threshold to 75 points significan

SUBMITTER: Fung SH 

PROVIDER: S-EPMC12703531 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature