CMS: 93 Percent of Clinicians Get Positive Payment Adjustments for MIPS Year 1

Healthcare Informatics (11/08/18) Leventhal, Rajiv

The Centers for Medicare & Medicaid Services (CMS) reported that 93 percent of Merit-based Incentive Payment System (MIPS)-eligible clinicians were awarded a positive payment adjustment for their 2017 performance and 95 percent avoided a negative payment adjustment. In addition, 71 percent earned a positive payment adjustment and an adjustment for exceptional performance, 22 percent were accorded only a positive payment adjustment, 5 percent received a negative payment adjustment, and 2 percent received a neutral adjustment. In all, approximately 1.6 million clinicians eligible for MIPS will receive a positive, neutral, or negative MIPS payment adjustment. Slightly more than 1 million disclosed data as either an individual, as a part of a group, or via an Alternative Payment Model (APM), and received a neutral payment adjustment or better. Furthermore, approximately 99,000 eligible clinicians earned Qualifying APM Participant status under the Advanced APM track. "We expect that the gradual increases in the performance thresholds in future program years will create an evolving distribution of payment adjustments for high performing clinicians who continue to invest in improving quality and outcomes for beneficiaries," said CMS Administrator Seema Verma.

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