Changes in patient experiences and assessment of gaming among large clinician practices in precursors of the Merit-Based Incentive Payment System.

ABSTRACT:

Importance

Medicare's Merit-Based Incentive Payment System (MIPS), a public reporting and pay-for-performance program, adjusts clinician payments based on publicly reported measures that are chosen primarily by clinicians or their practices. However, measure selection raises concerns that practices could earn bonuses or avoid penalties by selecting measures on which they already perform well, rather than by improving care-a form of gaming. This has prompted calls for mandatory reporting on a smaller set of measures including patient experiences.

Objectives

Within precursor programs of the MIPS, this study examined 1) practices' selection of Consumer Assessment of Healthcare Providers and Systems (CAHPS) patient experience measures for quality scoring under pay-for-performanc

SUBMITTER: Roberts ET 

PROVIDER: S-EPMC8623747 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature