American Hospital Association October 1, 2021

At least 93% of clinicians eligible to participate in Medicare’s Merit-based Incentive Payment System earned a small positive adjustment in 2017 through 2019, according to a report released today by the Government Accountability Office. The largest payment adjustment in any year was 1.88%. Median final scores were well above the performance threshold across each of the three years. About 72%-84% of providers earned an exceptional performance bonus, depending on the year.

Some stakeholders interviewed by GAO said bonus points such as those that may be added to the final scores for small practices helped increase scores for certain clinicians who might otherwise be disadvantaged, while others questioned whether the...

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