TY - JOUR
T1 - New CMS Merit-Based Incentive Payment System Value Pathway After Total Knee and Hip Arthroplasty
T2 - Preparing for Mandatory Reporting
AU - Deans, Christopher F.
AU - Abdeen, Ayesha R.
AU - Ricciardi, Benjamin F.
AU - Deen, Justin T.
AU - Schabel, Kathryn L.
AU - Sterling, Robert S.
N1 - Publisher Copyright:
© 2024 Elsevier Inc.
PY - 2024
Y1 - 2024
N2 - This article discusses the implementation of a new Merit-Based Incentive Payment System Value Pathway (MVPs) applicable to elective total hip and total knee arthroplasty as created by Medicare and Medicaid Services (CMS) – the Improving Care for Lower Extremity Joint Repair MVP (MVP ID: G0058). We describe specific quality measures, surgeon-hospital collaborations, future developments with Quality Payment Program, and how lessons from early implementation will empower clinicians to participate in the refining of this MVP. The CMS has designed MVPs as a subset of measures relevant to a specialty or medical condition, in an effort to reduce the burden of reporting and improve assessment of care quality. Physicians and payors must be mindful of detrimental effects these measures in their current form may have on surgeons, institutions, and patients, including disincentivizing care for sicker or more vulnerable populations, and increased administrative costs. Early voluntary participation is crucial to gain valuable experience for the orthopedic community and in an effort to work alongside CMS to maximize care while minimizing cost for patients and burden for providers.
AB - This article discusses the implementation of a new Merit-Based Incentive Payment System Value Pathway (MVPs) applicable to elective total hip and total knee arthroplasty as created by Medicare and Medicaid Services (CMS) – the Improving Care for Lower Extremity Joint Repair MVP (MVP ID: G0058). We describe specific quality measures, surgeon-hospital collaborations, future developments with Quality Payment Program, and how lessons from early implementation will empower clinicians to participate in the refining of this MVP. The CMS has designed MVPs as a subset of measures relevant to a specialty or medical condition, in an effort to reduce the burden of reporting and improve assessment of care quality. Physicians and payors must be mindful of detrimental effects these measures in their current form may have on surgeons, institutions, and patients, including disincentivizing care for sicker or more vulnerable populations, and increased administrative costs. Early voluntary participation is crucial to gain valuable experience for the orthopedic community and in an effort to work alongside CMS to maximize care while minimizing cost for patients and burden for providers.
KW - Medicare
KW - patient-reported outcome measure
KW - payment
KW - performance
KW - total hip arthroplasty
KW - total knee arthroplasty
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U2 - 10.1016/j.arth.2024.01.037
DO - 10.1016/j.arth.2024.01.037
M3 - Comment/debate
C2 - 38278186
AN - SCOPUS:85185596254
SN - 0883-5403
VL - 39
SP - 1131
EP - 1135
JO - Journal of Arthroplasty
JF - Journal of Arthroplasty
IS - 5
ER -