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CMS Releases 2017 Quality Payment Program Experience Report

April 02, 2019

McDermott+Consulting

The Centers for Medicare & Medicaid Services (CMS) released its 2017 Quality Payment Program (QPP) Experience Report with Appendix, which provides a comprehensive overview of the clinician reporting experience during the first year of the Quality Payment Program (QPP). This report expands on the initial performance results released in November 2018.

Key takeaways from the report include:

  • Of the 1,057,824 clinicians eligible for MIPS, 1,006,319 (95 percent) participated in the Merit-based Incentive Payment System (MIPS) and avoided a negative payment adjustment.
  • 341,220 MIPS eligible clinicians participated in MIPS through a MIPS Advanced Payment Model (APM), which, indicates some desire from clinicians and practices to transition toward value-based arrangements.
  • While most eligible clinicians (93 percent) who participated in MIPS earned a positive payment adjustment, the actual positive payment adjustments were fairly small and even top performers earned less than the expected four percent which was allowed by statute.
  • Of the eligible clinicians who participated in MIPS, 54 percent did so as groups, 12 percent as individuals, and 34 percent through MIPS APMs.
  • A total of 99,076 clinicians were Advanced APM Qualifying APM Participants (QPs) and an additional 52 were Partial QPs.

For more information visit the Quality Payment Program website.

 


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459/smadhani@mcdermottplus.com or Mara McDermott at 202-204-1462/mmcdermott@mcdermottplus.com.

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