Health Affairs January 18, 2019
The Centers for Medicare and Medicaid Services (CMS) recently published 2017 MIPS performance data from the first year of the Quality Payment Program (QPP). Implemented through the Medicare Access and CHIP Reauthorization Act of 2015, QPP is a value-based payment program with two participation options: the MIPS track and the Alternative Payment Model (APM) track.
MIPS is a nationwide pay-for-performance program that aims to reward clinicians who provide high-value care with upward professional services payment adjustments, while penalizing clinicians who do not with downward adjustments. As discussed in a previous post, multiple factors are used in MIPS payment adjustments, some of which are determined only after the end of the performance year. As a result, clinicians may find it challenging...
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