J Am Board Fam Med 2021 May-Jun;34(3):590-601
From the Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA (CTB, TKN); Department of Emergency Medicine, Cedars-Sinai Medical Center, West Hollywood, CA (CTB); University of California, Los Angeles (UCLA) National Clinician Scholars Program (CTB, MCE); Department of Pediatrics, Cedars-Sinai Medical Center (MCE); Division of Neonatal Medicine, Department of Pediatrics, Los Angeles County and University of Southern California Medical Center (MCE); Kaiser Permanente School of Medicine, Pasadena, CA (GR); Department of Health Policy and Management, UCLA Fielding School of Public Health (JN).
Background: While administrators of pay-for-performance may have good intentions, physicians may be reluctant to participate for various reasons, including poor program alignment with realities of clinical practice. In this study, we sought to characterize how primary care physicians (PCPs) participating in Medicare's Merit-Based Incentive Payment System (MIPS) conceptualize the quality of health care to help inform future measurement strategies that physicians would understand and appreciate.
Methods: We performed semi-structured qualitative interviews with a nationwide sample of 20 PCPs in MIPS. Read More