Many of Congress' Medicare advisers said Thursday (Nov. 2) they could support replacing the Merit-based Incentive Payment System with an alternative the commission is developing, but two commissioners disagreed. Commissioners David Nerenz and Alice Coombs said they could not support the alternative, which Coombs said is inadequate. The Medicare Payment Advisory Commission has raised concerns about MIPS for the past two years, notably that MIPS will not reward high-value clinicians and overburdens doctors, MedPAC staff said. MedPAC staff presented commissioners...