EDITORIAL COMMENT

Abstract

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.