Medical Economics April 16, 2020
Courtney Tesvich

In August 2019, the Centers for Medicare & Medicaid Services (CMS) announced proposed modifications to the Merit-Based Incentive Payment System (MIPS). As physician practices work to understand what’s changed, there are certain aspects of which they need to be aware.

The following sections provide key takeaways and offer strategies for meeting this year’s requirements.

Threshold Increases Are Not Insurmountable

CMS has adjusted both the minimum and additional performance thresholds, as well as the positive and negative payment adjustments. Even with these changes, it is still reasonable to expect that most practices will avoid penalties, especially when you consider how well organizations have done in the program to date. In 2019, the mean final score was expected to be 74 points,...

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Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, MACRA, Medicare, Payment Models, Physician, Primary care, Provider, Value Based
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