CMS Releases MIPS Results for Performance Year 2018

CMS Releases MIPS Results for Performance Year 2018

On January 6, 2020, CMS released the 2018 Quality Payment Program Performance Results, noting that 98% of eligible clinicians who participated in MIPS in 2018 will receive a positive payment adjustment in 2020, a 5% increase over the 2017 performance year. With so few clinicians receiving a penalty, CMS states the positive adjustments will “remain modest” in 2020, since, by law (MACRA), the program must remain budget neutral. In fact, according to the published numbers, the maximum positive adjustment for clinicians and groups who exceeded the 70-point exceptional performance benchmark in 2018 is 1.68%. Keep in mind that as the MIPS performance threshold increases with each year of the program (e.g., 15 points in 2018, 30 points in 2019, 45 points in 2020), it becomes more challenging to meet and exceed the threshold, likely resulting in more clinicians incurring a penalty and more dollars available for positive payment adjustments.

For more information, read CMS Administrator, Seema Verma’s, statement regarding the 2018 QPP results.

Holly Hester

Holly Hester is Casamba’s Senior Vice President of Compliance & Education, as well as the Compliance Officer. She provides regulatory guidance and interpretation, clinical programming and content development, education and training steerage, and compliance support for the company. As a physical therapist for more than 20 years, Holly has multi-venue clinical and management experience, giving her a unique perspective on the integration of compliance and training with therapy service delivery and clinical practice.
Request Demo

Casamba, a Net Health® Company