MIPS will replace the Physician Quality Reporting System (PQRS) and CMS will adjust Medicare payments to most physicians either up or down by as much as 9% depending on how well they score in four performance categories. One expert shares insight based on a recent article published in JAMA Forum.
Physicians are anticipating the new Merit-based Incentive Payment System (MIPS) system with trepidation.
Robert A. Berenson, M.D., a fellow at the Urban Institute in Washington, D.C., recently authored an article in JAMA Forum that was critical of the legislationâs focus on doctorsâ performance on what he calls a few, random, unreliable measures that he says give a misleading view of a physicianâs work.
Dermatologist, Helen M. Torok, M.D., medical director of Trillium Creek Dermatology & Surgery in Medina, Ohio, has mixed feelings.
Dr. TorokOn one hand, she is glad to see merit-based reimbursement, and she wishes it had been implemented long ago.
"I welcome any opportunity to increase reimbursement," she says. "We all have concerns whenever there are new practice measures imposed on our lives. However, if I can increase my reimbursement by not only by 9% but even up to 27%, then I would do everything I possibly can to achieve this."
However, Dr. Torok also notes that much is unclear about how the new reimbursement system will work.
âWe donât know the full extent of the process," she says, "so it remains to be seen how much time it will take away from our clinical time."
And the existing Physician Quality Reporting System, she says, has been a mess. "The way it is set up doesnât make sense, especially for dermatolo- gists," she says. "It is time to stop being pushed, prodded, dictated to, bullied and harassed. I donât know of any other profession that is so tightly controlled, monitored, censored, dissected and dictated to."