Some Inconvenient Truths for CMS

AMIA says meaningful use has had ‘serious and unintended consequence’ of limiting the design, innovation of EHRs

In October, the Centers for Medicare & Medicaid Services asked for comments on its implementation of the Merit-based Incentive Payment System (MIPS) and the promotion of alternative payment models. This week the American Medical Informatics Association (AMIA) responded with specific suggestions, but also some insightful general comments about health IT and quality measurement in service of value-based payment.

For instance, AMIA notes that despite earnest efforts, quality measurement has not become “a by-product of care delivered,” as envisioned, but rather an end unto itself. The focus on collecting numerous, process measures that may not reflect a patient-centered perspective on quality needs to be replaced by focusing on a more targeted number of important outcome measures, it said. For the full article click here 

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