News: 98% of eligible clinicians avoided MIPS penalty in 2018, CMS reports

CMS released its 2018 Quality Payment Program (QPP) experience report, which includes data on participation and performance in the Merit-based Incentive Payment System (MIPS) during the 2018 performance year. 

The report states that in 2018 a total of 889,995 clinicians were eligible to participate in MIPS, according to Revenue Cycle Advisor. Of these, 874,515 clinicians, or 98%, participated in the program.

The report also shows that:

• 97% of eligible clinicians in rural practices earned a positive payment adjustment
• 84% of MIPS eligible clinicians, or 749,016 eligible clinicians, earned an “exceptional performance” designation by earning 70 points or more
• 84% of small practices earned a positive payment adjustment

In addition, according to Revenue Cycle Advisor, the report shows an increase in MIPS Advanced Payment Model (APM) participation: 356,353 MIPS eligible clinicians participated in MIPS through an APM, which is a 15,000-clinician increase from the 2017 performance year. The number of clinicians achieving qualifying APM participant status also nearly doubled from 99,076 in 2017 to 183,306 clinicians in 2018. 

More extensive data on MIPS participation during the 2018 performance year will be released in a separate public use file this summer.

Editor’s note: This article originally appeared in Revenue Cycle Advisor. The QPP experience report can be found here. To read more about MIPS and other quality programs, click here.