CMS Releases Preliminary Data on 2018 Quality Payment Program Participation

Today, the Centers for Medicare & Medicaid Services (CMS) published a blog post and released an infographic to share preliminary participation data for the Quality Payment Program during 2018.

Key findings include:

Overall, MIPS participation rates increased between 2017 and 2018 from 95 percent to 98 percent, respectively.
Small practices participation increased from 81% in 2017 to almost 90% in 2018.
97.63 percent of the 916,058 total TINs/NPIs were above the performance threshold; 0.42 percent were at the performance threshold; and 1.95 percent were below the performance threshold.
The number of Qualifying Advanced Payment Model Participants (QPs) nearly doubled, from 99,076 clinicians in 2017 to 183,306 in 2018.

2018 MIPS Performance Feedback and Targeted Review

Clinicians who participated in MIPS in 2018 can access their 2018 performance feedback by logging in to the Quality Payment Program website. If you believe an error has been made in your 2018 performance feedback and 2020 MIPS payment adjustment factor(s) calculation, you will have the opportunity to request a targeted review until September 30, 2019.

For More Information

Visit the Quality Payment Program Resource Library for more Quality Payment Program resources including 2018 Performance Feedback FAQs and 2018 Targeted Review Fact Sheet.

Questions? Contact the Quality Payment Program at QPP@cms.hhs.gov or 1-866-288-8292 (TTY: 1-877-715-6222).

2017 QPP Performance Information is Now Available on Physician Compare

CMS has added new performance information to the Physician Compare website.

Medicare patients and caregivers are able to use the Physician Compare website to search for and compare clinicians and groups who are enrolled in Medicare, as shown in this patient story video. The overarching goals of Physician Compare are, 1) to help people with Medicare make informed health care decisions and, 2) to incentivize clinicians and groups to maximize their performance. Publicly reporting 2017 Quality Payment Program performance information will help further those goals.

Specifically, the 2017 Quality Payment Program performance information on Physician Compare profile pages for Merit-based Incentive Payment System (MIPS) eligible clinicians and groups includes:

12 MIPS quality measures reported by groups and displayed as measure-level star ratings on group profile pages;
8 Consumer Assessment for Healthcare Provider and Systems (CAHPS) for MIPS summary survey measures displayed as top-box percent performance scores on group profile pages;
6 Qualified Clinical Data Registry (QCDR) quality measures reported by groups and displayed as percent performance scores on group profile pages;
11 QCDR quality measures reported by individual clinicians and displayed as percent performance scores on individual clinician profile pages.

The 2017 Quality Payment Program performance information will be available in the Downloadable Database when it is released. 2017 Medicare Shared Savings Program and Next Generation Accountable Care Organization (ACO) performance information will be publicly reported on Physician Compare ACO profile pages.

Learn more about how Quality Payment Program performance information is selected for public reporting on Physician Compare in the Quality Payment Program and Physician Compare Factsheet: What You Need to Know for Performance Year 2017.

Visit the Physician Compare Initiative page for more specific information about which 2017 Quality Payment Program performance information have been added to Physician Compare profile pages for MIPS eligible clinicians and groups:

Additional information about Physician Compare star ratings can be found in the Physician Compare Benchmark and Star Ratings Fact Sheet and 2017 Physician Compare Group Star Rating Cutoffs document.