Healthcare Dive—April 18, 2018
Healthcare Dive reported that the American College of Physicians (ACP) published an analysis of the Merit-based Incentive Payment System (MIPS). Study findings indicated that a majority of physician performance measures for ambulatory internal medicine are not valid.
"We're saying there's a real problem with the measures. I don't think there's a problem per se with MIPS. What we're calling out is many of the measures in MIPS are problematic, and we need to fix those measures," said HSS chief value medical officer and lead study author Catherine H. MacLean, MD, PhD.
Dr. MacLean noted that certain measures, like one that requires patients with high blood pressure to have it managed at a target of 140/90, are not manageable goals for older patients.
"Doctors with older patients will fail that measure. They just aren't going to treat to that standard because it's not the right thing to do for their patients," she said.
Dr. MacLean added, "we need to take a step back, look at these measures and think about two things. One, what matters to patients in terms of improving their quality of life. Two, when we do that quality measurement, how do we do it in a way that's useful for physicians?"
Read the full article at healthcaredive.com