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With the move to the Merit-based Incentive Payment system (MIPS) envolving from

ID: 352082 • Letter: W

Question

With the move to the Merit-based Incentive Payment system (MIPS) envolving from meaningful use in which technology plays a vital role what were some challenges and opportunities during the transition of meaningful use towards MIPS and challenges and opportunities for informatics technology. What are examples? With the move to the Merit-based Incentive Payment system (MIPS) envolving from meaningful use in which technology plays a vital role what were some challenges and opportunities during the transition of meaningful use towards MIPS and challenges and opportunities for informatics technology. What are examples?

Explanation / Answer

MIPS (Merit based incentive system ) have two tracks one is quality payment system and performance based programs .MIPS based three streamline :

1.the physician quality reporting system (pqrs)

2. Value based payment modifier program system

3.medicare electronic health record

If any individual or group participate under MIPS so it show that provided high quality and efficient care supported by technology sending information in various categories

1.quality

2. Improvement activities

3. Advanced care information system

4.cost : calculated to determine payment adjustment

Challenges and opportunities

1. Lack of incentive : those taking parts for MIPS and need financial reimbursement or fee for service as seen generally they receive lower incentive or no bonus as compare to who part in alternative payment system.

Opportunity :

Strong benchmarks and pull for alternative payment model : MIPS ( Merit based incentive payment system ) open the ways for better benchmark by providing strong incentive for physician who participate in alternative payment system if they provide effectiveness performance and benchmark so bundled of payment is mandatory .

Challenges :

Flaws in aligning stakeholder : quality measure under MIPS like physician quality reporting need to more simplified and user friendly which truly gives benefit and also difficulties in helping align beneficiary provider and payments so there is lack of alignment is comes when quality measure are needed .

Opportunity :

MIPS healthcare reform : under MIPS there are four stages like :

Quality (pqrs)

Meaningful use

Resource use

Clinical practice improvement

Because of all above three clinical practice improve which is more beneficial to patient safety . Because of providers working towards the reform strategies healthcare and greater focus and coordinate to safety measures only .

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