In Reply We appreciate Dr Lum’s interest in our work.1 Based on our understanding of eligibility criteria for the Merit-Based Incentive Payment System (MIPS) and the Physician Compare data sets, we believe her concerns about the generalizability of our findings are overstated. Dr Lum correctly notes that the Individual Eligible Clinician file includes performance scores for approximately 36% of all MIPS-eligible clinicians. However, this statistic is not generalizable to otolaryngologists. In the final rule establishing the MIPS, the Centers for Medicare & Medicaid Services estimated that fewer than 7812 otolaryngologists would be eligible for participation in 2017.2 Assuming this upper bound, our sample of 6512 otolaryngologists1 would therefore represent at least 83% of all MIPS-eligible physicians in our field.
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.
Xiao R, Varvares MA, Rathi VK. Incomplete Picture of Otolaryngologist Performance in the Merit-Based Incentive Payment System—Reply. JAMA Otolaryngol Head Neck Surg. Published online September 10, 2020. doi:10.1001/jamaoto.2020.2602
Coronavirus Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: