Research Mentor Name
Geoffrey Potts MD
Research Mentor Email Address
gpotts@med.wayne.edu
Institution / Department
Wayne State University Department of Dermatology
Document Type
Research Abstract
Research Type
healthimprovement
Level of Research
no
Abstract
The Merit-Based Incentive Payment System (MIPS) requires physicians to report quality measures along with other metrics that are used to determine an annual percentage adjustment to physician Medicare Part B payments. Unfortunately, physicians have been forced to choose from an ineffective, limited set of quality measures. This has led to an overreliance on process measures, which fail to stratify physician performance effectively; it has also led to differences in the number of reporting options across specialties, resulting in unequal opportunity for physicians to succeed in MIPS. Using Centers for Medicare and Medicaid Services (CMS) public use file data from 2021-2024, we found that the number of quality measures available for reporting has declined annually since 2021, and that process measures accounted for a majority, 59% or more, of yearly measures. More than 33% of yearly measures failed to stratify physician performance effectively, and significant variability in the number of 2024 reporting options existed across specialties. Policymakers should ensure that future modifications to the MIPS program provide equal opportunity for physicians to achieve a positive Medicare Part B payment adjustment.
Disciplines
Economic Policy | Health Economics | Health Policy | Health Services Administration | Health Services Research | Medicine and Health Sciences | Policy Design, Analysis, and Evaluation
Recommended Citation
Sawar, Kinan and Potts, Geoffrey MD, "Evaluating the Current State of Quality Measure Reporting in the Merit-Based Incentive Payment System" (2025). Medical Student Research Symposium. 407.
https://digitalcommons.wayne.edu/som_srs/407
Included in
Economic Policy Commons, Health Economics Commons, Health Policy Commons, Health Services Administration Commons, Health Services Research Commons, Policy Design, Analysis, and Evaluation Commons