BC Advantage - 2018 Issue 5
MIPS Are we really improving quality of care Survey says
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Article Overview
This commentary examines whether current quality measurement approaches in MIPS and related Medicare performance programs are truly capturing better care. It discusses physician burden, a survey on reporting costs, an ACP review of measure validity, and policy concerns about how performance measures are developed, assessed, and selected. The article is relevant to clinicians, medical coders, practice managers, and health policy professionals following Medicare quality reporting and value-based care.
Why This Topic Matters
Understanding the limits of quality measures helps practices evaluate reporting burdens, interpret performance programs, and anticipate changes in MIPS measure development and selection. The article also places the issue in the context of physician experience, patient impact, and ongoing policy debates over value-based care.
Article Sections
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Opening anecdote and MIPS context
Introduces the article’s perspective on physician value, payer oversight, and the broader debate around quality measurement in clinical practice.
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Most measures not valid?
Summarizes a survey on the burden of reporting quality measures and introduces an ACP review of measure validity within a national measure list.
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What were some major findings?
Presents broad categories of concerns identified in the review, including evidence support, organizational endorsement, and measure specification issues.
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Domain 1: Importance
Begins the ACP’s framework for evaluating measures across multiple validity domains.
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Domain 2: Appropriate Care
Continues the framework by addressing additional criteria used to assess performance measures.
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Domain 3: Clinical Evidence Base
Covers the evidence-related component of the ACP’s measure assessment approach.
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Domain 4: Measure Specifications
Describes the section of the framework focused on how measures are defined and structured.
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Measure 5: Measure Feasibility and Applicability
Addresses the final domain related to whether measures are practical to collect and apply in real-world settings.
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Time out!
Discusses the ACP’s call for a reassessment of performance measurement methods and broader flexibility in future systems.
What You Will Learn
- How physician quality reporting burden is being discussed in the context of MIPS
- What broad concerns have been raised about the validity of commonly used performance measures
- How the ACP’s measure evaluation framework organizes different aspects of validity
- Why policymakers and payers are being urged to review measure development and selection methods
Who Should Read This
- Physicians
- Medical coders
- Practice managers
- Quality reporting staff
- Health policy professionals
- Revenue cycle professionals
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