{"id":"https://openalex.org/W3021968245","doi":"https://doi.org/10.1001/jamahealthforum.2020.0452","title":"Does the Merit-Based Incentive Payment System Disproportionately Affect Safety-Net Practices?","display_name":"Does the Merit-Based Incentive Payment System Disproportionately Affect Safety-Net Practices?","publication_year":2020,"publication_date":"2020-05-11","ids":{"openalex":"https://openalex.org/W3021968245","doi":"https://doi.org/10.1001/jamahealthforum.2020.0452","mag":"3021968245","pmid":"https://pubmed.ncbi.nlm.nih.gov/36218491"},"language":"en","primary_location":{"id":"doi:10.1001/jamahealthforum.2020.0452","doi":"https://doi.org/10.1001/jamahealthforum.2020.0452","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2020.0452","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2766082/liao_2020_is_200042_1618265606.05839.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","oarl","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2766082/liao_2020_is_200042_1618265606.05839.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5006868514","display_name":"Joshua M. Liao","orcid":"https://orcid.org/0000-0002-9788-9074","observed_orcids":["https://orcid.org/0000-0002-9788-9074"]},"institutions":[{"id":"https://openalex.org/I201448701","display_name":"University of Washington","ror":"https://ror.org/00cvxb145","country_code":"US","type":"education","lineage":["https://openalex.org/I201448701"]},{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joshua M. Liao","raw_affiliation_strings":["Department of Medicine, University of Washington, Seattle","Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia","Value & Systems Science Lab, Seattle, Washington"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Washington, Seattle","institution_ids":["https://openalex.org/I201448701"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]},{"raw_affiliation_string":"Value & Systems Science Lab, Seattle, Washington","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5053908011","display_name":"Amol S. Navathe","orcid":"https://orcid.org/0000-0001-7182-4988","observed_orcids":["https://orcid.org/0000-0001-7182-4988"]},"institutions":[{"id":"https://openalex.org/I4210133394","display_name":"Philadelphia VA Medical Center","ror":"https://ror.org/03j05zz84","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1322918889","https://openalex.org/I2799886695","https://openalex.org/I4210133394","https://openalex.org/I4210147340"]},{"id":"https://openalex.org/I4405271814","display_name":"Leonard Davis Institute of Health Economics","ror":"https://ror.org/033gy9j95","country_code":"US","type":"facility","lineage":["https://openalex.org/I4405271814"]},{"id":"https://openalex.org/I79576946","display_name":"University of Pennsylvania","ror":"https://ror.org/00b30xv10","country_code":"US","type":"education","lineage":["https://openalex.org/I79576946"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Amol S. Navathe","raw_affiliation_strings":["Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia","Michael J Crescenz VA Medical Center, Philadelphia, Pennsylvania"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I79576946"]},{"raw_affiliation_string":"Leonard Davis Institute of Health Economics, Wharton School, University of Pennsylvania, Philadelphia","institution_ids":["https://openalex.org/I4405271814","https://openalex.org/I79576946"]},{"raw_affiliation_string":"Michael J Crescenz VA Medical Center, Philadelphia, Pennsylvania","institution_ids":["https://openalex.org/I4210133394"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5053908011"],"corresponding_institution_ids":["https://openalex.org/I4210133394","https://openalex.org/I4405271814","https://openalex.org/I79576946"],"apc_list":{"value":5000,"currency":"USD","value_usd":5000},"apc_paid":{"value":5000,"currency":"USD","value_usd":5000},"fwci":1.6998,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.89207747,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":97},"biblio":{"volume":"1","issue":"5","first_page":"e200452","last_page":"e200452"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8130000233650208,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.8130000233650208,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11590","display_name":"Primary Care and Health Outcomes","score":0.17829999327659607,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.0044999998062849045,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/merit-based-incentive-payment-system","display_name":"Merit-based Incentive Payment System","score":0.9980000257492065},{"id":"https://openalex.org/keywords/pay-for-performance","display_name":"performance-based pay","score":0.8169999718666077},{"id":"https://openalex.org/keywords/medicare-payment-reform","display_name":"Medicare payment reform","score":0.8420000076293945},{"id":"https://openalex.org/keywords/value-based-payment","display_name":"value-based payment","score":0.6990000009536743},{"id":"https://openalex.org/keywords/clinical-quality-measures","display_name":"clinical quality indicators","score":0.640999972820282},{"id":"https://openalex.org/keywords/hospital-readmissions-reduction-program","display_name":"Hospital Readmissions Reduction Program","score":0.6869999766349792},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.7540000081062317},{"id":"https://openalex.org/keywords/health-care-value","display_name":"health care value","score":0.3709999918937683}],"concepts":[{"id":"https://openalex.org/C2778216598","wikidata":"https://www.wikidata.org/wiki/Q1131802","display_name":"Safety net","level":2,"score":0.8527550101280212},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.801720917224884},{"id":"https://openalex.org/C29122968","wikidata":"https://www.wikidata.org/wiki/Q1414816","display_name":"Incentive","level":2,"score":0.7844873666763306},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.6355359554290771},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5850881934165955},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.3558111786842346},{"id":"https://openalex.org/C162118730","wikidata":"https://www.wikidata.org/wiki/Q1128453","display_name":"Actuarial science","level":1,"score":0.3485565781593323},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.23334360122680664},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.1986205279827118},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.1882573366165161},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.15869799256324768},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.12453308701515198},{"id":"https://openalex.org/C175444787","wikidata":"https://www.wikidata.org/wiki/Q39072","display_name":"Microeconomics","level":1,"score":0.10420769453048706},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1001/jamahealthforum.2020.0452","doi":"https://doi.org/10.1001/jamahealthforum.2020.0452","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2020.0452","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2766082/liao_2020_is_200042_1618265606.05839.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","oarl","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},{"id":"pmid:36218491","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36218491","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA health forum","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1001/jamahealthforum.2020.0452","doi":"https://doi.org/10.1001/jamahealthforum.2020.0452","is_oa":true,"landing_page_url":"https://doi.org/10.1001/jamahealthforum.2020.0452","pdf_url":"https://jamanetwork.com/journals/jama-health-forum/articlepdf/2766082/liao_2020_is_200042_1618265606.05839.pdf","source":{"id":"https://openalex.org/S4210223698","display_name":"JAMA Health Forum","issn_l":"2689-0186","issn":["2689-0186"],"is_oa":false,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","jufo-1","medline","oarl","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA Health Forum","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Reduced inequalities","score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10"},{"display_name":"Good health and well-being","score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3021968245.pdf","grobid_xml":"https://content.openalex.org/works/W3021968245.grobid-xml"},"referenced_works_count":4,"referenced_works":["https://openalex.org/W2062303217","https://openalex.org/W2288970355","https://openalex.org/W2570451996","https://openalex.org/W3010064680"],"related_works":["https://openalex.org/W7171564195","https://openalex.org/W4410543752","https://openalex.org/W4390694821","https://openalex.org/W2525115401","https://openalex.org/W4412467552","https://openalex.org/W3147811228","https://openalex.org/W4289528727","https://openalex.org/W3190035250","https://openalex.org/W2926784714","https://openalex.org/W3084366168"],"abstract_inverted_index":{"Three":[0],"years":[1],"since":[2,69],"the":[3,6,13,24,83,180,246,262,268,304],"introduction":[4],"of":[5,85,112,115,228,240,248,290,320,332],"nationwide":[7],"Merit-Based":[8],"Incentive":[9],"Payment":[10,300],"System":[11],"(MIPS),":[12],"US":[14],"Centers":[15],"for":[16,34,46,179,282,294],"Medicare":[17,35,257],"&":[18,306],"Medicaid":[19],"Services":[20],"(CMS)":[21],"continues":[22],"using":[23],"program":[25,41],"to":[26,29,119,167,198,232,284],"incentivize":[27],"clinicians":[28,47,54,77,138,157,184],"improve":[30,100,120],"health":[31,116],"care":[32,121,229,292],"value":[33],"beneficiaries.The":[36],"MIPS":[37,187,196,213,311,336],"is":[38,126,208,217,242],"a":[39,321],"pay-for-performance":[40],"that":[42,98,134,154,182],"increases":[43],"payment":[44,61,144,172,258,327],"rates":[45],"who":[48,55],"provide":[49],"high-value":[50],"care,":[51],"while":[52],"penalizing":[53],"do":[56,176],"not":[57,177],"by":[58],"decreasing":[59],"their":[60,291],"rates.The":[62],"program's":[63],"design":[64],"has":[65],"been":[66],"largely":[67],"similar":[68],"launching":[70],"in":[71,73,82,123,163,186,205,224,237,335],"2017.As":[72],"earlier":[74],"years,":[75],"participating":[76],"are":[78,230,293],"evaluated":[79],"on":[80],"performance":[81,132],"domains":[84],"(1)":[86],"quality":[87,92],"(as":[88],"assessed":[89],"through":[90,188],"clinical":[91],"measures),":[93],"(2)":[94],"improvement":[95],"activities":[96],"(initiatives":[97],"can":[99],"care),":[101],"(3)":[102],"costs":[103],"(patients'":[104],"resource":[105],"use":[106],"and":[107,109,148,195,202,267,278,303,324,337],"spending),":[108],"(4)":[110],"promotion":[111],"interoperability":[113],"(use":[114],"information":[117],"technology":[118],"delivery).Performance":[122],"each":[124],"domain":[125],"incorporated":[127],"into":[128],"an":[129,170,330],"overall":[130],"composite":[131],"score":[133],"ultimately":[135],"dictates":[136],"whether":[137],"receive":[139],"upward,":[140],"downward,":[141],"or":[142],"no":[143],"rate":[145],"adjustments.Aggregate":[146],"2017":[147],"2018":[149],"results":[150],"from":[151],"CMS":[152],"suggest":[153],"most":[155],"individual":[156],"have":[158],"fared":[159,236],"well":[160],"thus":[161],"far":[162],"MIPS,":[164],"with":[165,234,296],"93%":[166],"98%":[168],"receiving":[169],"upward":[171],"adjustment.However,":[173],"those":[174,223],"data":[175],"account":[178],"fact":[181],"many":[183],"participate":[185],"group":[189,314],"practices":[190,204,221,250,273,334],"rather":[191],"than":[192],"as":[193,261,318],"individuals":[194,233],"appeared":[197],"disproportionately":[199,252],"penalize":[200],"small":[201],"rural":[203],"2017.Unfortunately,":[206],"little":[207],"currently":[209],"known":[210],"about":[211],"practice-level":[212],"performance.In":[214],"particular,":[215],"it":[216],"unknown":[218],"how":[219],"safety-net":[220,249,333],"(ie,":[222],"which":[225],"large":[226,288],"proportions":[227,289],"provided":[231],"vulnerabilities)":[235],"MIPS.This":[238],"dearth":[239],"knowledge":[241],"especially":[243],"concerning":[244],"given":[245],"history":[247],"being":[251],"penalized":[253],"under":[254],"other":[255],"national":[256],"reforms,":[259],"such":[260,285],"Hospital":[263],"Readmissions":[264],"Reduction":[265],"Program":[266],"Value-Based":[269],"Purchasing":[270],"Program.1,2":[271],"Safety-net":[272],"may":[274],"face":[275],"more":[276],"barriers":[277],"possess":[279],"fewer":[280],"strategies":[281],"responding":[283],"programs":[286],"if":[287],"patients":[295],"social":[297],"risk":[298],"factors.3The":[299],"Insights":[301],"Team":[302],"Value":[305],"Systems":[307],"Science":[308],"Lab":[309],"track":[310],"policy,":[312],"including":[313],"practice":[315],"participation,":[316],"4":[317],"part":[319],"portfolio":[322],"monitoring":[323],"evaluating":[325],"value-based":[326],"programs.We":[328],"present":[329],"analysis":[331],"discuss":[338],"key":[339],"policy":[340],"implications.":[341]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":4}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2020-05-13T00:00:00"}
