Policy & Medicine August 4, 2024
Thomas Sullivan

Recently, the Centers for Medicare and Medicaid Services (CMS) released a report that provides insight into clinicians’ performance in the Quality Payment Program (QPP) in 2022. The QPP has two tracks, the Merit-based Incentive Payment System (MIPS) or the Advanced Alternative Payment Model (Advanced APM). Irrespective of which track a clinician participates in, a clinician’s performance in 2022 impacts their Medicare reimbursement they will receive this calendar year, 2024.

Importantly, clinicians were required to participate in MIPS for the 2022 performance year if they were: (1) a MIPS eligible clinician type; (2) enrolled as a Medicare provider before January 1, 2022; (3) exceeded the low-volume threshold, and (4) weren’t otherwise excluded (for example, by achieving QP status). There was...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Payment Models, Physician, Provider, Value Based
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