In January, the AANS and the CNS signed a letter recommending vital improvements to the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) framework. MVPs attempt to group together measures that are relevant to a specific specialty, condition, or population to provide a more focused participation experience. While MVPs were intended to respond to concerns about the increasing complexity of MIPS, its lack of meaningful measures, and its failure to prepare physicians to transition to alternative payment models (APM), the framework fails to achieve any of these goals. The letter makes specific recommendations that would, among other things, result in more meaningful quality and cost comparison information for patients and create better alignment between MIPS and the hospital value-based purchasing programs.
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