Nancy Foster, Vice President, Quality and Safety Policy, AHA

Articles

Physician Fee Schedule (PFS)/MACRA/QPP

The MIPS Needs Ongoing Improvement, Not Replacement

The second year of the Merit-based Incentive Payment System (MIPS) required by the Medicare Access and CHIP Reauthorization Act (MACRA) began on Jan. 1. Yet last month, the Medicare Payment Advisory Commission (MedPAC) voted to recommend that Congress repeal the MIPS and replace it with a new “voluntary value program” (VVP). MedPAC suggests that MIPS is burdensome, inequitable, and too complex and thus “cannot succeed.” But is it really time to scrap the MIPS barely one year into implementation?

Would the VVP Work?

Quality & Patient Safety, Advocacy & Public Policy

HACcidental Penalties: Why Hospital-Acquired Condition Penalties Are Not Reliable

Does receiving a penalty under Medicare’s Hospital-Acquired Condition (HAC) program really mean a hospital is a poor performer? An online article published February 16 in the Journal for Healthcare Quality by the AHA and KNG Health Consulting shows that getting a HAC penalty resembles a game of chance for many hospitals, rather than a fair and meaningful determination of their performance in caring for patients with complex health needs.