Merit-based Incentive Payment System (MIPS)

Ask orthopedic surgeon Andrew Jawa, M.D., when his total shoulder replacement patients can expect to put on a jacket without help. His answer is likely to include the exact postoperative week — with evidence-based variations due to each patient's age and condition. Jawa performs more than 220 total shoulder replacements each year at the Boston Sports and Shoulder Center. And his success relies in part on self-reported data provided by his patients at every visit, from the first preoperative appointment through every follow-up visit for the next five years...

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Digital health data are rapidly expanding to include patient-reported outcomes, patient-generated health data, and social determinants of health. Measurements collected in clinical settings are being supplemented by data collected in daily life, such as data derived from wearable sensors and smartphone apps, and access to other data, such as genomic data, is rapidly increasing. One projection suggests that a billion individuals will have their whole genome sequenced in the next several years. These additional sources of data, whether patient-generated, genomic, or other, are critical for a comprehensive picture of an individual’s health...

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