By NextBestFitMedicare pay-for-performance programs (MIPS, Hospital Value-Based Purchasing, readmission penalties)
replacedYear 1Provider payment & regulation
Today
Small bonuses and penalties with heavy reporting burden and mixed evidence of benefit.
Under the plan
MIPS ends. Hospital programs are replaced by a single 2% quality withhold in global budgets. (The Medicare for All Act ends pay-for-performance entirely; this plan keeps one simple version.)
Trade-off
Far less reporting; a quality incentive remains but can penalize hospitals serving sicker, poorer patients.