{"database":"biostudies-literature","file_versions":[],"scores":null,"additional":{"omics_type":["Unknown"],"volume":["28(4)"],"submitter":["Patel VR"],"pubmed_abstract":["The merit-based incentive payment system (MIPS) is a value-based payment model created by the Centers for Medicare & Medicaid Services (CMS) to promote high-value care through performance-based adjustments of Medicare reimbursements. In this cross-sectional study, we examined the participation and performance of oncologists in the 2019 MIPS. Oncologist participation was low (86%) compared to all-specialty participation (97%). After adjusting for practice characteristics, higher MIPS scores were observed among oncologists with alternative payment models (APMs) as their filing source (mean score, 91 for APMs vs. 77.6 for individuals; difference, 13.41 [95% CI, 12.21, 14.6]), indicating the importance of greater organizational resources for participants. Lower scores were associated with greater patient complexity (mean score, 83.4 for highest quintile vs. 84.9 for lowest quintile, difference, -1.43 [95% CI, -2.48, -0.37]), suggesting the need for better risk-adjustment by CMS. Our findings may guide future efforts to improve oncologist engagement in MIPS."],"journal":["The oncologist"],"pagination":["e228-e232"],"full_dataset_link":["https://www.ebi.ac.uk/biostudies/studies/S-EPMC10078897"],"repository":["biostudies-literature"],"pubmed_title":["Oncologist Participation and Performance in the Merit-Based Incentive Payment System."],"pmcid":["PMC10078897"],"pubmed_authors":["Nortje N","Parikh RB","Gupta A","Cwalina TB","Shih YT","Hussaini SMQ","Mullangi S","Patel VR"],"additional_accession":[]},"is_claimable":false,"name":"Oncologist Participation and Performance in the Merit-Based Incentive Payment System.","description":"The merit-based incentive payment system (MIPS) is a value-based payment model created by the Centers for Medicare & Medicaid Services (CMS) to promote high-value care through performance-based adjustments of Medicare reimbursements. In this cross-sectional study, we examined the participation and performance of oncologists in the 2019 MIPS. Oncologist participation was low (86%) compared to all-specialty participation (97%). After adjusting for practice characteristics, higher MIPS scores were observed among oncologists with alternative payment models (APMs) as their filing source (mean score, 91 for APMs vs. 77.6 for individuals; difference, 13.41 [95% CI, 12.21, 14.6]), indicating the importance of greater organizational resources for participants. Lower scores were associated with greater patient complexity (mean score, 83.4 for highest quintile vs. 84.9 for lowest quintile, difference, -1.43 [95% CI, -2.48, -0.37]), suggesting the need for better risk-adjustment by CMS. Our findings may guide future efforts to improve oncologist engagement in MIPS.","dates":{"release":"2023-01-01T00:00:00Z","publication":"2023 Apr","modification":"2025-04-04T10:42:15.222Z","creation":"2025-04-04T10:42:15.222Z"},"accession":"S-EPMC10078897","cross_references":{"pubmed":["36847139"],"doi":["10.1093/oncolo/oyad033"]}}