Breast Imaging Radiologists' Role in Value Pathways.

The Merit-Based Incentive Payment System (MIPS) has fallen short of its intended goal to substantially transform the delivery of healthcare by tying clinician payments to quality and cost reduction. Policy makers made changes to the program over its first five years in efforts to address concerns about complexity and lack of meaningful impact on outcomes for our patients. One of these changes, the creation of MIPS Value Pathways (MVPs), aims to streamline reporting of increasingly aligned measures and serve as a stepping-stone for the transition to alternative payment models. As MIPS continues to evolve, these value pathways will provide new opportunities for breast imaging radiologists to participate in value-based care.