The goals of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program are to help providers focus on quality and improve the health of patients.
MACRA is the piece of legislation that gives providers new tools, models, and resources to help deliver the best possible care. Organizations/Providers can choose how they want to participate based on their practice size, specialty, location, or patient population:
MIPS is one of two tracks in the QPP, which aims to simplify quality reporting and change the way clinicians receive Medicare payments. Effective January 1, 2017, MIPS streamlined previous activities into one:
For the 2018 performance year, there are three exemptions from MIPS for clinicians who otherwise meet the eligibility requirements above:
The first performance period opens January 1, 2017 and closes December 31 2017. During 2017 record quality data and how you used technology to support your practice. If an Advanced APM its your practice, then you can join and provide care during the year through that model.
March 31, 2018
Send in performance data:
To potentially earn a positive payment adjustment under MIPS send in data about the care you provided and how your practice used technology in 2017 to MIPS by the deadline. March 31 2018 in order to earn the 5% incentive paymeny by significantly participating in an Advanced APM, just send quality data through your Advanced APM.
Medcare gives you feedback about your performance after you send your data.
January 1, 2019
You may earn a positive MPS payment adjustment for 2019 if you submit 2017 data by March 31 2018. If you participate in an Advanced APM in 2017, then you may earn a 5% incentive payment in 2019.
To read more, access the CMS Quality Payment Program web site.
March 31, 2019
January 1, 2020
MIPS assigns each eligible physician a Composite Performance Score (CPS) based on the following four criteria, and adjusts payment based on performance:
|Criteria||Weighted Value||Max Penalty/
|Quality (Formerly PQRS)||60%||-4% to +4%||50%||-5% to +5%||30%||-7% to +7%|
|Clinical Practice Improvement