What's the Merit-Based Incentive Payment System (MIPS)?
The MIPS is a program in which Eligible Professionals will be measured on:
Quality
Resource use
Clinical practice improvement activities
Meaningful use
MIPS allows Medicare clinicians to be paid for providing high quality, efficient care through success in four performance categories:
QUALITY
(50% of total score for 1st year; replaces the Physician Quality Reporting System and the quality component of the Value Modifier Program): This category gives clinicians reporting options to choose from to accommodate differences in specialty and practices.
ADVANCING CARE INFORMATION
(25% of total score for 1st year): Replaces the Medicare EHR Incentive Program for physicians, also known as "Meaningful Use". Unlike the existing Meaningful Use program, this category would not require all-or-nothing EHR measurement or quarterly reporting.
CLINICAL PRACTICE IMPROVEMENT ACTIVITIES
(15% of total score for 1st year): Clinicians would be rewarded for clinical practice improvement activities such as activities focused on care coordination, beneficiary engagement, and patient safety.
COST
(10% of total score for 1st year; replaces the cost of the Value Modifier Program/Resource Use): The score would be based on Medicare claims, meaning no reporting requirements for clinicians. This category would use more than 40 specific measures to account for differences among specialties.