One of the most significant goals of the Quality Payment Program is to move individuals and their groups away from a fee-for-service model of payment toward participating in Alternative Payment Models (APMs). Although a handful of anesthesiologists have joined an Advanced APM and many more participate in the Medicare Shared Savings Program, the majority of anesthesiologists and their groups continue to struggle in finding a path from the Merit-based Incentive Payment System (MIPS) to an APM.
In recent years, the Centers for Medicare & Medicaid Services (CMS) has attempted to describe a glide path for some groups to move from the traditional MIPS program toward an Advanced APM. Known as MIPS Value Pathways (MVPs), these potential pathways may address some of the structural problems originally built into the MIPS program. For individuals and groups not participating in an APM, the legislation that established MIPS required that CMS assess individuals and...
