[Skip to Content]
[Skip to Content Landing]
Views 205
Citations 0
Comment & Response
September 10, 2020

Incomplete Picture of Otolaryngologist Performance in the Merit-Based Incentive Payment System

Author Affiliations
  • 1Quality and Data Science, American Academy of Ophthalmology, San Francisco, California
JAMA Otolaryngol Head Neck Surg. Published online September 10, 2020. doi:10.1001/jamaoto.2020.2599

To the Editor I appreciate the hard work and excellent analysis of Merit-Based Incentive Payment System (MIPS) performance in the article by Xiao et al, “Otolaryngologist Performance in the Merit-Based Incentive Payment System in 2017.”1 However, I have 1 major concern with the article’s depiction of otolaryngologists’ performance because it leaves the impression with the readership that this is a complete picture of 2017 MIPS performance. Specifically, the Individual Eligible Clinician File with MIPS scores (both individual and group) has only 376 170 rows, compared with more than 1 000 000 clinicians participating in MIPS. The Centers for Medicare and Medicaid Services described the first year of MIPS as the following: “We calculated that 1 057 824 MIPS eligible clinicians will receive a MIPS payment adjustment, either positive, neutral, or negative. Of that population, 1 006 319 MIPS eligible clinicians reported data as either an individual, as a part of a group, or through an Alternative Payment Model (APM) and received a neutral payment adjustment or better.”2

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words