More physicians shift from MIPS to APMs in Medicare

• In 2018, physician participation in alternative payment models increased by 84%, while participation in the Merit-based Incentive Payment System (MIPS) decreased by 5%.
• Among MIPS participants, 97% garnered increases of up to 1.68% of their annual Medicare payments.
• Also in MIPS, 2% of physicians incurred payment cuts of up to 5% of their Medicare payments.

The number of physicians receiving Medicare payments through risk-based models sharply increased in 2018, while the much larger number for whom payment is based on quality-measure performance started to decline.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) established criteria for Medicare to pay physicians through either the Merit-based Incentive Payment System (MIPS) or advanced alternative payment models (APMs). MIPS...

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