MedPac and MIPS

Re-posting from Deloitte.

MedPAC evaluates payment adequacy, looks at steps to take in 2018 and beyond

At its monthly meeting on December 7-8, the Medicare Payment Advisory Commission (MedPAC) primarily focused on ways to assess payment adequacy and update payments.

Under the Merit-based Incentive Payment System (MIPS), providers receive a penalty or bonus payment based on a number of quality indicators. But it does not assess the value of care accurately, the commissioners said. Only a few of the indicators correlate with meaningful outcomes; many are process measures and have not been shown to reflect high-value care, according to the Commission.

As a result, MedPAC is considering recommending Congress eliminate MIPS and institute a new program called the Voluntary Value Program (VVP). Under VVP, clinicians would choose to be measured as part of a group, and those groups could qualify for a value payment based on their performance on population-based measures as a whole.

During a later discussion, speakers said that payments for inpatient and outpatient services seem largely accurate based on a number of measures. Access to care is good, as excess capacity exists. Access to capital is strong, with hospital employment on the rise. Quality is improving, with mortality and readmissions rates declining.

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