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CMS Releases Final 2018 QPP Performance Results: Max Positive 2020 Payment Adjustment is 1.68%

January 07, 2020

McDermott+Consulting

The Centers for Medicare and Medicaid Services (CMS) released the final 2018 Quality Payment Program (QPP) performance results for the Merit-based Incentive Payment System (MIPS) which impacts 2020 payments. The findings are summarized in a blog post and an infographic. In late 2019, CMS released preliminary 2018 data.

The maximum positive MIPS payment adjustment a clinician will receive in 2020 is 1.68%, compared to the statutory maximum of 5%. MIPS is a budget neutral program. High participation rates in 2018 combination with a high percentage of clinicians avoiding a negative adjustment requires that the distribution of positive payment adjustments are spread across many people. This results in a lower overall positive payment adjustment.

Some other key findings for the 2018 performance year are:

  • 98% of eligible clinicians participating in MIPS will receive a positive payment adjustment in 2020, this is a 5% increase from 2019; and
  • 183,306 eligible clinicians earned Qualifying APM Participant (QP) status under the Advanced APM path while another 47 eligible clinicians received partial QP status during 2018.

Additional information about the QPP can be found on the QPP webpage.

 

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

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