I, for one, appreciate any contribution from CMS or an insurance company here. My policy has been, for many years, to just suck it up and jump through any hoops presented. CMS, and the insurance industry in general, are as much our customers as are our patients. Patients spend far more time researching their insurance options than checking the credentials of their physicians, they trust the insurance companies to do that for them. Working on quality improvement always means doing something that is not direct patient care. I have 100 MIPS because of years of working with HEDIS measures with insurance companies and our own measures and practice improvement projects through MOC. We have PCMH status through the AAAHC because of years of stomping down my ego and my staff's egos with population measures showing that centering the practice around the patient works and improves care. And, yes, I am getting paid better for the efforts.


Kevin Miller, MD