A national survey of physicians elicits beliefs regarding how the Merit-based Incentive Payment System domains drive value.
Objectives: To understand physician perspectives about drivers of value within the 4 domains—quality, improvement activities, promoting interoperability, and cost—of the Merit-based Incentive Payment System (MIPS).
Study Design: National web-based physician survey.
Methods: Those surveyed who believed that MIPS domain activities would improve value were asked about mechanisms—quality (structural quality, process quality, or outcome quality), patient experience, and/or cost—they believe would drive those improvements.
Results: Of 1431 physicians, 51% responded. Most believed that value would be improved by activities in the 4 MIPS domains of quality (55%), improvement activities (70%), promoting interoperability (54%), and cost (71%). Process quality was the most frequently selected driver in the quality (77%), improvement activities (70%), and promoting interoperability (70%) domains.