Last Updated: Nov 15, 2018
The Centers for Medicare and Medicaid Services announced that 93 percent of clinicians eligible for the Merit-based Incentive Payment System (MIPS) will get a positive payment adjustment in 2019 for their performance in 2017.
CMS shared the 2017 performance results for the two tracks of its Quality Payment Program (QPP) – MIPS and the Advanced Alternative Payment Model (Advanced APM) – via this announcement from CMS Administrator Seema Verma published on Nov. 8, 2018.
There were 1,057,824 MIPS-eligible clinicians who will receive either a positive, negative, or neutral payment adjustment in 2019 for 2017 performance. Overall, 95 percent of MIPS-eligible clinicians met or exceeded the three-point performance threshold and avoided a penalty in 2019.
CMS says that, under the Advanced APM track, 99,076 eligible clinicians earned Qualifying APM Participant status.
Additional highlights of the 2017 performance results include:
- 71 percent of MIPS-eligible clinicians earned a positive adjustment with an additional adjustment for exceptional performance.
- The national mean score for MIPS was 74.01 points, and the national median score was 88.97 points.
- 93 percent of rural practices received a positive payment adjustment for MIPS performance, and, of that number, 65 percent earned an additional adjustment for exceptional performance.
- 74 percent of small practices received a positive payment adjustment for MIPS performance, and, of that number, 44 percent earned an additional adjustment for exceptional performance. 19 percent of MIPS-eligible small practices will receive a negative payment adjustment in 2019 for 2017 performance.
- The maximum positive payment adjustment for exceptional performance (a score of ≥ 70-100) is 1.88 percent.
To find additional data on 2017 results, check out this CMS infographic with 2017 QPP Performance Year Data at a Glance. To see how your practice compares to the national mean, access your scores at qpp.cms.gov.
The Pennsylvania Medical Society (PAMED) offers resources on the Quality Payment Program, including how to participate in 2018, at www.pamedsoc.org/macra.
Practices can also access a MIPS Reporting Solution through PAMED’s Care Centered Collaborative.
PAMED members with questions can contact our Knowledge Center at 855-PAMED4U (855-726-3348) or KnowledgeCenter@pamedsoc.org.