RT Journal Article
SR Electronic
T1 Impact of Gaps in Merit-Based Incentive Payment System Measures on Marginalized Populations
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 255
OP 257
DO 10.1370/afm.2075
VO 15
IS 3
A1 Kyle Eggleton
A1 Winston Liaw
A1 Andrew Bazemore
YR 2017
UL http://www.annfammed.org/content/15/3/255.abstract
AB As the United States enters a new era of value-based payment heavy in emphasis on primary care measurement, careful examination of selected measures and their potential impact on outcomes and vulnerable populations is essential. Applying a theoretical model of health care quality as a coding matrix, we used a directed content analysis approach to categorize individual Merit Based Incentive Payment System (MIPS) measures. We found that most MIPS measures related to aspects of clinical effectiveness, whereas few, if any, related to aspects of access, patient experience, or interpersonal care. These gaps suggest that MIPS may fail to measure the broader aspects of health care quality and even risk worsening existing disparities.