REIMBURSEMENT

MACRA: QPP Year 1 By the Numbers

On Nov. 8, CMS posted Merit-based Incentive Payment System (MIPS) performance results for 2017, the first year of the Quality Payment Program (QPP) which it will use to determine 2019 Medicare payment adjustments for physicians and other clinicians. As expected, the 2019 adjustments, both up and down, were quite modest. But that’s expected to change in the years ahead as the QPP is phased in. Here are the key numbers for 2017:

  • 1 million+: Number of clinicians participating in the QPP
  • 95:  Percentage of physicians that avoided MIPS penalties
  • 1.88: Maximum positive adjustment percentage
  • 93: Percentage of clinicians that earned a positive adjustment
  • 71: Percentage of clinicians that earned a positive adjustment and bonus for exceptional performance
  • 2: Percentage of clinicians that earned a “neutral” adjustment
  • 5: Percentage of clinicians that earned a negative adjustment
  • -4: Maximum negative adjustment percentage
  • Nearly 100,000: Clinicians that earned APM participant status
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