MedPAC Recommends Elimination of MIPS and Adoption of Alternative Approach in March 2018 Report to Congress

March 16, 2018


On Thursday, March 15, 2018, the Medicare Payment Advisory Commission (MedPAC) released its semiannual report to Congress with a recommendation to eliminate the Merit-Based Incentive Payment System (MIPS) and replace it with an allegedly less burdensome program referred to as the Voluntary Value Program (VVP). MedPAC has come to believe that MIPS replicates flaws of prior value-based purchasing programs in Medicare, is too burdensome and complex, and that the information gained is unlikely to achieve its stated goals.

Under the recommended VVP, clinicians would self-organize into groups that collectively assume responsibility for their patients’ outcomes. All clinicians would be measured on the same set of measures which would be calculated by CMS from claims and surveys; and thereby would no longer need to separately report quality data. Overall the VVP would be budget neutral with some clinicians receiving payment increases and others receiving payment reductions.

Eliminating MIPS and establishing the recommended VVP would require Congressional action.

Report news release is available here.

Report fact sheet is available here.

Entire report is available here.

Chapter 15: Moving Beyond the Merit-based Incentive Payment System is available here.

For more information on MACRA visit the McDermottPlus MACRA Resource Center or contact Sheila Madhani at 202-204-1459,

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