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FREE PUBLICATIONS
  • Bundled Payment Update eNewsletter
  • MACRA MIPS/APM Update eNewsletter
  • Pay for Performance Update eNewsletter

RECENTLY FEATURED STORY
From February 3, 2020
MACRA MIPS/APM Update eNewsletter #49

MIPS 2020: Complete Guide
CMS released the 2020 Final Rule for the Quality Payment Program on Friday November 1, 2019. You can read the full 2,475-page rule here: CY 2020 Medicare Physician Fee Schedule (PFS) Final Rule. Alternatively, this guide identifies everything you need to know about MIPS 2020. CMS described their changes to the MIPS 2020 program as changes that "…will gradually prepare clinicians for the MIPS 2022 performance period." CMS said that because MIPS 2022 is the first year of the full implementation of MIPS.

While MIPS 2017 was the first year of MIPS, it was not the first year of the full implementation of MIPS. The first five years of MIPS, meaning 2017 through 2021, are transition years. That means that core components of the MIPS program are just ramping up during these years. And the changes in MIPS 2020 are a part of that ramp. Here's what you'll learn in this guide:

  • What's changing in MIPS 2020
    • Scoring
      • Category weights
      • Performance thresholds
    • Payment adjustments
    • Category requirements
      • Quality
      • Cost
      • Promoting Interoperability
      • Improvement Activities
  • What's not changing in MIPS 2020
  • What's changing after MIPS 2020
    • Category weights
    • Performance thresholds
    • MIPS Value Pathways (MVPs)

CMS did not finalize any of its proposed changes to MIPS category weights in MIPS 2020. For that reason, the Quality category will still be worth 45% of the MIPS composite score in MIPS 2020. And the cost category will still be worth 15% of the MIPS composite score.

(Able Health, access January 7, 2020)


RECENTLY FEATURED VIDEO
From January 10, 2020
Bundled Payment Update eNewsletter #131

Case Study of BlueCross BlueShield of North Carolina's Value-based Payment Initiatives

James P. Sharp, MPH, JD
Director, Health Care Strategy and Transformation, BlueCross BlueShield of North Carolina; Former Policy and Strategy Advisor, Office of the Director, Center for Medicare and Medicaid Innovation, Washington, DC


RECENTLY FEATURED RESOURCE
From February 20, 2020
Pay for Performance Update eNewsletter #132

Using Value-Based Healthcare to Improve Patient Outcomes


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