The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway framework
Abstract The Centers for Medicare & Medicaid Services (CMS) implemented the Merit‐based Incentive Payment System (MIPS) to accelerate the transition of physician payment toward value‐based care models and away from traditional fee‐for‐service payment programs. In recent years, CMS has sought to...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-04-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12672 |
| _version_ | 1828279825504141312 |
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| author | Cameron J. Gettel Bradford Tinloy Susan M. Nedza Michael A. Granovsky Pawan Goyal Aisha T. Terry Arjun K. Venkatesh |
| author_facet | Cameron J. Gettel Bradford Tinloy Susan M. Nedza Michael A. Granovsky Pawan Goyal Aisha T. Terry Arjun K. Venkatesh |
| author_sort | Cameron J. Gettel |
| collection | DOAJ |
| description | Abstract The Centers for Medicare & Medicaid Services (CMS) implemented the Merit‐based Incentive Payment System (MIPS) to accelerate the transition of physician payment toward value‐based care models and away from traditional fee‐for‐service payment programs. In recent years, CMS has sought to modify the program by developing a MIPS Value Pathway (MVP) framework intended to use existing and future physician quality and cost measures to reward value‐based care delivery. This article describes the multi‐step process of the MVP Task Force, convened by the American College of Emergency Physicians (ACEP) to develop an emergency medicine‐specific MVP proposal informed by diverse stakeholder perceptions regarding: (1) which existing quality measures reflect high quality emergency care, and (2) the degree to which emergency clinicians can impact clinical outcomes and cost for the care domains captured by existing quality measures. The MVP Task Force synthesized stakeholder feedback and underwent a consensus‐building approach to develop the “Adopting Best Practices and Promoting Patient Safety within Emergency Medicine” MVP, recently reviewed and approved by CMS for national implementation starting in 2023. Our process and findings have broad implications for clinicians, administrators, and policymakers navigating the continued transition to value‐based care in conjunction with CMS's implementation of the MVP framework. |
| first_indexed | 2024-04-13T07:49:15Z |
| format | Article |
| id | doaj.art-92a3dd8fe1b445c19edfc2b4e7e307ff |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-04-13T07:49:15Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-92a3dd8fe1b445c19edfc2b4e7e307ff2022-12-22T02:55:35ZengWileyJournal of the American College of Emergency Physicians Open2688-11522022-04-0132n/an/a10.1002/emp2.12672The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway frameworkCameron J. Gettel0Bradford Tinloy1Susan M. Nedza2Michael A. Granovsky3Pawan Goyal4Aisha T. Terry5Arjun K. Venkatesh6Department of Emergency Medicine Yale School of Medicine New Haven Connecticut USAVituity Emeryville California USASMN Health Policy Insights Chicago Illinois USALogixHealth Bedford Massachusetts USAAmerican College of Emergency Physicians Irving Texas USADepartment of Emergency Medicine George Washington University School of Medicine Washington District of Columbia USADepartment of Emergency Medicine Yale School of Medicine New Haven Connecticut USAAbstract The Centers for Medicare & Medicaid Services (CMS) implemented the Merit‐based Incentive Payment System (MIPS) to accelerate the transition of physician payment toward value‐based care models and away from traditional fee‐for‐service payment programs. In recent years, CMS has sought to modify the program by developing a MIPS Value Pathway (MVP) framework intended to use existing and future physician quality and cost measures to reward value‐based care delivery. This article describes the multi‐step process of the MVP Task Force, convened by the American College of Emergency Physicians (ACEP) to develop an emergency medicine‐specific MVP proposal informed by diverse stakeholder perceptions regarding: (1) which existing quality measures reflect high quality emergency care, and (2) the degree to which emergency clinicians can impact clinical outcomes and cost for the care domains captured by existing quality measures. The MVP Task Force synthesized stakeholder feedback and underwent a consensus‐building approach to develop the “Adopting Best Practices and Promoting Patient Safety within Emergency Medicine” MVP, recently reviewed and approved by CMS for national implementation starting in 2023. Our process and findings have broad implications for clinicians, administrators, and policymakers navigating the continued transition to value‐based care in conjunction with CMS's implementation of the MVP framework.https://doi.org/10.1002/emp2.12672consensus buildingemergency medicineMIPS Value Pathwayquality measurementvalue‐based care |
| spellingShingle | Cameron J. Gettel Bradford Tinloy Susan M. Nedza Michael A. Granovsky Pawan Goyal Aisha T. Terry Arjun K. Venkatesh The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway framework Journal of the American College of Emergency Physicians Open consensus building emergency medicine MIPS Value Pathway quality measurement value‐based care |
| title | The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway framework |
| title_full | The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway framework |
| title_fullStr | The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway framework |
| title_full_unstemmed | The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway framework |
| title_short | The future of value‐based emergency care: Development of an emergency medicine MIPS value pathway framework |
| title_sort | future of value based emergency care development of an emergency medicine mips value pathway framework |
| topic | consensus building emergency medicine MIPS Value Pathway quality measurement value‐based care |
| url | https://doi.org/10.1002/emp2.12672 |
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