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Most MIPS-Eligible Clinicians Earned Positive Payment Adjustment in 2017

The Centers for Medicare & Medicaid Services (CMS) has released its 2017 Quality Payment Program (QPP) Experience Report, which includes participation and performance statistics for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) tracks.

In 2017, of the eligible clinicians who participated in MIPS:

  • 93 percent earned a positive payment adjustment and 2 percent earned a neutral adjustment;
  • 54 percent participated as groups;
  • 12 percent participated as individuals; and
  • 34 percent participated in MIPS through APMs.

Most eligible clinicians opted to report data for 90 days or longer; less than one percent submitted the minimum amount of data for fewer than 90 days.

The report includes additional participation data, mean and median scores, data submission methods, and commonly reported quality measures sortable by reporting type, clinician type, group size, and special status.

Additionally, CMS updated its QPP Participation Status Tool with a Dec. 31, 2018, snapshot of data from APM entities. This snapshot will determine which eligible clinicians participate in a MIPS APM for purposes of the APM scoring standard.

To check qualifying APM participant and MIPS APM status at the individual level, health care providers must enter their 10-digit National Provider Identifier on the QPP Participation Status Tool. To check eligibility at the APM entity level, providers must log in to the QPP website and use their group’s taxpayer identification number to locate each clinician’s eligibility status.

For questions, contact the Quality Payment Service Center at 866.288.8292 or qpp@cms.hhs.gov.

America’s Essential Hospitals has established a resource page dedicated to the QPP. Visit this page regularly for new and updated information.

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About the Author

Emily Schweich is a communications associate for America's Essential Hospitals.