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Ninety-five percent of physicians avoided a negative Medicare payment adjustment in 2017



November 14, 2018

The Centers for Medicare and Medicaid Services (CMS) recently released additional performance data for the 2017 Medicare Quality Payment Program (QPP).

According to CMS, 93 percent of more than 1 million Merit-Based Incentive Payment System (MIPS) eligible clinicians received a positive payment adjustment for their performance in 2017, and 95 percent overall avoided a negative payment adjustment. Seventy-one percent earned a positive adjustment and an adjustment for exceptional performance; 22 percent earned a positive payment adjustment only; 2 percent received no increase or decrease; and 5 percent received a negative payment adjustment.

The maximum positive payment adjustment for exceptional performance was a modest 1.88 percent, resulting from the budget neutrality requirements in MIPS, as established by law under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

From a scoring perspective, the overall national average score for MIPS-eligible clinicians was 74.01 points, and the national median was 88.97 points. Clinicians participating in MIPS as individuals or groups received an average score of 65.71 points and a median score of 83.04 points. Clinicians participating in MIPS through an alternative payment model received an average score of 87.64 points and a median score of 91.67 points

For more details of the 2017 performance data, visit the CMS website.

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