Clarify your path to success with MACRA/MIPS support from LTPAC leaders.

The Merit-Based Incentive Payment System (MIPS) program leverages and augments PQRS, Value-Based Modifier (VBM) and Meaningful Use requirements into a cohesive program. MIPS will also include the introduction of a new reporting category, Improvement Activities.

The payment adjustments will begin in 2020; however, the payment adjustment schedule will be based on 2018 performance scores (scores will be positive, zero, or negative).

MIPS is a budget-neutral program. The incentives are funded by the penalties incurred by other eligible clinicians.

MIPS will become increasingly more difficult in the subsequent years. While Improvement Activities and Advancing Care information weights remain constant, Quality decreases and Resource Use weight increases significantly over time.

Year: 2020*

• Quality: 50%
• Resource Use: 10%
• Improvement Activities: 15%
• Advancing Care Information: 25%

*Based on calendar year (CY) 2018 participation

Year: 2021**

• Quality: 30%
• Resource Use: 30%
• Improvement Activities: 15%
• Advancing Care Information: 25%

**Based on CY 2019 Participation

If clinicians face significant hardship and are unable to report ACI measures, they can apply to have their ACI performance category score weighted to zero. However, doing so will increase the Quality component weight from 50% to 75%.

Yes. The MIPS Eligible Clinician’s performance scores are publicly available on the CMS Physician Compare website.

• Use a CEHRT to recorded the measure’s demographic and clinical data elements.
• Export and transmit the measure data electronically to a third party. The third party, such as a registry, uses automated software to aggregate the measure data, calculate measures, perform any filtering of measurement data, and submit the data electronically to CMS.

GEHRIMED is both a Qualified Registry and a QCDR.