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    4 crucial tips to consider when picking MIPS or APM

    In the not-too-distant future, doctors will have to make an important decision each year—one that will affect their pay.

    mips performanceBeginning in 2019, doctors will be required to participate in the Merit-Based Incentive Payment System (MIPS) or an alternative payment model (APM). Bob Doherty, senior vice president of governmental affairs and public policy for the American College of Physicians, explains what physicians need to know about the programs.

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    Although there is some time before this value-based transition occurs, it’s not too early for practices to start deciding where they are headed in the future. “The question is, which path is best for you? There’s no one-size-fits all. Be prepared, don’t be caught in a less advantageous position,” Doherty says.

    Make a choice

    Starting in 2019, physicians and their practices will have to choose between two options—MIPS or APM— for Medicare reimbursement. “Although they will need to be enrolled in one of these two options starting in 2019, they will need to make the decision considerably before then, and ensure that their practices are ready,” Doherty says.

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    They can chose to participate in the new quality reporting program MIPS, which will adjust their Medicare physician fee schedule payments up or down based on performance measures on four weighted categories: quality, resource use, meaningful use of electronic health records, and clinical improvement. They will get a score from 1 to 100, based on how well they do.

    Next: Start to think about it

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    • DONALDLBLACKMON
      Why is another disastrous bureaucratic edict a fait accomplis? Why do our "advocates" not direct congress to repeal this ludicrous edict? Why should MD's have another hoop to jump through to get paid for patient care? Do we not have any advocates for common sense any longer? So, so, so frustrating that Bob Doherty tells us what the government is doing to us now -- either because of ACP (and his) ineptness or complicity. Does ANYONE (practicing MD) believe these choices of payment - MIPS or APM - will engender MD enthusiasm for the practice of medicine? Better yet, does anyone believe these modalities will improve patient care? Why will the non-MD's not butt out and let us take care of people instead of make us spend useless time pleasing them/their edicts? Why, Mr. Doherty, why?
    • DONALDLBLACKMON
      Why is another disastrous bureaucratic edict a fait accomplis? Why do our "advocates" not direct congress to repeal this ludicrous edict? Why should MD's have another hoop to jump through to get paid for patient care? Do we not have any advocates for common sense any longer? So, so, so frustrating that Bob Doherty tells us what the government is doing to us now -- either because of ACP (and his) ineptness or complicity. Does ANYONE (practicing MD) believe these choices of payment - MIPS or APM - will engender MD enthusiasm for the practice of medicine? Better yet, does anyone believe these modalities will improve patient care? Why will the non-MD's not butt out and let us take care of people instead of make us spend useless time pleasing them/their edicts? Why, Mr. Doherty, why?

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