International Journal of Health Policy and Management

International Journal of Health Policy and Management

A National Case Study Demonstrates Why Outcomes-Based Payment Systems Fail

Articles in Press

Document Type : Viewpoint

Authors
Alexander J. Gajewski 1
James L. Gajewski 2
1 Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX, USA
2 Independent Researcher, Fort Lewis, WA, USA
Keywords
Health Economics
Medicare
Merit-Based Incentive Payment System
Health Policy

Background

 

Medicare Part B is the primary payor in the United States (US) for all outpatient care for Americans over the age of 65. As part of a broader movement towards “value-based care”, the Medicare Merit-based Incentive Payment System (MIPS) was first implemented in 2019 and grades physicians in four categories: quality measures, cost of care, engagement in selfimprovement, and ability to share records with other health systems. ...(Read more...)

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International Journal of Health Policy and Management

Articles in Press, Accepted Manuscript
Available Online from 01 September 2026

  • Received Date 02 October 2025
  • Revised Date 04 July 2026
  • Accepted Date 21 July 2026
  • First Published Date 01 September 2026
  • Published Date 01 September 2026