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EDITORIAL COMMENT

  • Kevin B Knopf
    Correspondence
    Address correspondence to Kevin B Knopf MD MPH, Division Chief Hematology/Oncology Alameda Health System 1411 East 31st Street, Oakland, CA 94602
    Affiliations
    Institute for Health Policy Studies, University of California San Francisco

    School of Pharmacy, University of South Carolina
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  • Charles L. Bennett
    Affiliations
    School of Pharmacy, University of South Carolina

    City of Hope Medical Center
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      Maganty et al. have conducted a thorough and intriguing analysis of the Center for Medicare and Medicaid Services (CMS) program called the Merit Based Incentive Payment System (MIPS). The analysis correlated MIPS scores with changes in practice patterns over time. Not unsurprisingly, smaller urology practices performed less well in MIPS scores (in part one of the CMS metric is “interoperability”–that is, investment in large scale electronic health records)–as did urology practices caring for the most vulnerable and poorest of Medicare patients. The most intriguing part of this article lies in the effect of MIPS on consolidation of urology practices over time as expounded upon in the excellent discussion.
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      References

      1. Kaplan A and O'Neill D Hospital price discrimination is deepening racial health inequity.
        NEJM Catalyst, 2020
        • Mullangi S
        • Schlecher S
        • Parikh RB
        The oncology care model at 5 years – value-based payment in the precision medicine era.
        JAMA Oncol. 2021; 7: 1283-1284
        • Ionnadis JPA.
        Why most published research findings are false.
        PLOS Med. 2005;
        • Rosenbaum L.
        Metric Myopia - Trading away our clinical judgment.
        NEJM. 2022; 386: 1759-1763

      Further Reading

      1. Like the Weather–10,000 Maniacs, 1987