Which program allows clinicians to earn performance-payment adjustments?

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The Merit-Based Incentive Payment System (MIPS) is a program designed to provide clinicians with performance-payment adjustments based on their ability to meet specific quality measures, improve patient engagement, and efficiently manage resources. This system was established under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and offers a pathway for clinicians to enhance their reimbursement levels through demonstrated performance in various categories, such as quality, cost, improvement activities, and promoting interoperability.

MIPS plays a pivotal role in transitioning healthcare reimbursement from volume to value, which aims to improve overall patient care and outcomes. By qualifying for performance-based adjustments, clinicians are incentivized to focus on delivering higher quality services rather than simply increasing the quantity of services provided.

In contrast, while MACRA is the overarching legislation that encompasses MIPS, it does not directly refer to the performance-payment adjustments. The Medicaid Enhancement Program and the Health Outcomes Survey Program serve different objectives and do not specifically focus on performance-based payment adjustments for clinicians in the same way MIPS does. Thus, MIPS stands out as the correct answer when identifying the program that allows clinicians to earn performance-payment adjustments.

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