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Ammy, I agree with you that MIPS could have a positive impact on psychiatric practice. By promoting quality care through performance-based incentives, MIPS encourages evidence-based, patient-centered treatment. Linking reimbursement to quality metrics can improve outcomes in areas like medication adherence, patient safety, and continuity of care. MIPS also enhances communication and collaboration among healthcare providers, improving care coordination and reducing hospital readmissions. Additionally, the MIPS Value Pathway (MVP) framework, introduced by CMS, utilizes quality and cost measures to strengthen value-based care. Gettel et al. (2022) discuss the development of an emergency medicine-specific MVP by the ACEP MVP Task Force, focusing on high-quality care measures and the impact of clinicians on clinical outcomes and costs, which CMS approved for national implementation in 2023.