The value transformation of health care: Impact on neuromuscular and electrodiagnostic medicine

Pushpa Narayanaswami, Millie Suk, Lyell K. Jones

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Beginning in 2017, most physicians who participate in Medicare are subject to the Medicare Access and CHIP Reauthorization Act (MACRA), the milestone legislation that signals the US health care system's transition from volume-based to value-based care. Here we review emerging trends in development of value-based healthcare systems in the US. MACRA and the resulting Quality Payment Program create 2 participation pathways, the Merit-based Incentive Payment System (MIPS) and the Advanced Alternative Payment Model (AAPM) pathway. Although there are several program incentives for AAPM participation, to date there have been few AAPM options for specialists. MIPS and its widening bonus and penalty window will likely be the primary participation pathway in the early years of the program. Value-based payment has the potential to reshape health care delivery in the United States, with implications for neuromuscular and electrodiagnostic (EDX) specialists. Meaningful quality measures are required for neuromuscular and EDX specialists. Muscle Nerve 56: 679–683, 2017.

Original languageEnglish (US)
Pages (from-to)679-683
Number of pages5
JournalMuscle and Nerve
Issue number4
StatePublished - Oct 2017


  • alternative payment models
  • value-based care
  • value-based payment

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Cellular and Molecular Neuroscience
  • Physiology (medical)


Dive into the research topics of 'The value transformation of health care: Impact on neuromuscular and electrodiagnostic medicine'. Together they form a unique fingerprint.

Cite this