The Merit-Based Incentive Payment System began scoring physicians in 2017, with implementation
of payment adjustments started in 2019. The program continues to evolve, with adjustments
to measures, score weighting and consideration of patient complexity. However, there
remain concerns about unintended consequences of this latest value-based payment program.
This review summarizes the roll-out of the program in the first performance year (2017)
and changes that will have an impact on payment adjustments in the 2022 performance
year. Further, it explains the need for policy informed by clinical experience to
protect access for vulnerable patients.
Key words
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References
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Article info
Publication history
Published online: June 15, 2022
Accepted:
April 27,
2022
Received:
October 31,
2021
Footnotes
Dr Byrd received a Surgical Scientist Training Grant in Health Services and Translational Research (5 T32 GM 8616-21) from the National Institutes of Health, United States Ruth L. Kirschstein National Research Service Award. Dr Chung has received book royalties from Wolters Kluwer and Elsevier, and a research grant from Sonex to study carpal tunnel outcomes.
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© 2022 by the American Society for Surgery of the Hand. All rights reserved.
