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CMS Releases Year 1 (2017) Quality Payment Program Performance Data

By December 12, 2018No Comments

Months after receiving great feedback from the Clinicians Champions group, CMS released Year 1 performance data from the Quality Payment Program (QPP). QPP was developed to improve Medicare by helping eligible clinicians focus on care quality and make patients healthier. Rather that focusing on volume, this new payment system focuses on value by rewarding value and outcomes in one of two ways: Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Eligible clinicians are measured on quality, improvement activities, promoting interoperability (formerly Advancing Care Information), and cost.

The report, which can be seen at a glance here, indicates high participation by clinicians and an emphasis on working to improve outcomes for beneficiaries. According to the CMS announcement, 93 percent of Merit-Based Incentive Payment System (MIPS) eligible clinicians received a positive payment adjustment for their 2017 performance!

Additionally, of 1,057,824 MIPS-eligible clinicians who will receive a MIPS payment adjustment, 1,006,319 received a neutral payment adjustment or better. CMS added that, under the Advanced APM track, 99,076 eligible clinicians earned Qualifying APM Participant (QP) status, which makes them eligible for a 5% APM incentive payment!

Based on this report, CMS considers QPP to be a significant success! SemanticBits is pleased with the 2017 performance data and proud to be a part of such an important project. We look forward to continue our work with CMS to create a positive impact on providers and beneficiaries.