SIR, as part of the Physician Clinical Registry Coalition, sent comments to the Office of Management and Budget (OMB) and the Centers for Medicare and Medicaid Services (CMS) in response to the Trump Administration’s deregulation initiative.

The letters requested OMB and CMS consider rescinding Merit-based Incentive Payment System (MIPS) policies that impose significant financial and administrative burden on clinician-led clinical data registries, including data validation, measure testing, scoring and MIPS Value Pathways. The letters also asked CMS to waive the data request fees associated with the Virtual Research Data Center (VRDC), as the fees are a barrier to most registries requesting data from the VRDC.