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MIPS in Residency? A Look at Merit-Based Incentives in an Internal Medicine Residency Outpatient Practice.


ABSTRACT:

Background

In January 2017, full implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) Merit-based Incentive Payment System (MIPS) inspired us to introduce a similar incentivized model of value-based care into our internal medicine residency's outpatient practice.

Objective

To provide real-world experience in a value-based payment practice model, we provided monetary incentives to internal medicine residents for meeting inbox management expectations, timely reporting, and improvement in clinical outcome measures.

Methods

Thirty-seven residents were divided into 6 teams. Over a 5-month period, clinical goals were to reduce by 5% each teams' average number of patients with diabetes who had HbA1c > 9% and to raise by 10% the number of diabetes patien

SUBMITTER: Bolyard J 

PROVIDER: S-EPMC6375335 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature