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The Merit-based Incentive Payment System in 2018. Overview

2018 is the second year of Quality Payment Program (QPP) and it’s referred as “The Quality Payment Program Year 2” which includes many of the flexibilities from the transition year (2017) to help clinicians get ready for Year 3.

MIPS Highlights

The Quality Payment Program Year 2 includes some minor changes:

Also, there are more options for small practices (15 or fewer clinicians) including:

There are some changes in weighting MIPS performance categories. For example, weighting the MIPS Cost performance category to 10% of your total MIPS final score. CMS will calculate cost measure performance; no action is required from clinicians.

Performance category Transition Year 1 (2017) Year 2 (2018)
Quality Weight to final score: 60% in 2019 payment year Weight to final score: 50% in 2020 payment year
Cost Weight to final score: 0% in 2019 payment year Weight to final score: 10% in 2020 payment year
Improvement Activities Weight to final score: 15% in 2019 payment year Weight to final score: 15% in 2020 payment year
Advancing Care Information Weight to final score: 25% in 2020 payment year Weight to final score: 25% in 2020 payment year
Performance threshold, Payment adjustment, Performance period
Performance threshold 3 points 15 points
Payment adjustment Ranges from -4% to +4% Ranges from -5% to +5%
Performance period Minimum 90-day performance period for Quality, Advancing Care Information, and Improvement Activities. No change for Advancing Care Information, Improvement activities, and Cost performance periods. Minimum 12 month performance period for Quality.
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