Performance is measured through the data clinicians report in four areas - Quality, Improvement Activities, Promoting Interoperability (formerly Advancing Care Information), and Cost. MIPS was designed to update and consolidate previous programs, including: Medicare Electronic Health Records (EHR) Incentive Program for Eligible Clinicians, Physician Quality Reporting System (PQRS), and the Value-Based Payment Modifier (VBM).
The 2018 QPP Final Rule introduced Cost this year at 10%, so CMS is decreasing Quality’s weight to 50% to compensate. The PI and IA categories will remain at 25% and 15%, respectively.
Category is Worth 15% of total MIPS score
This is a new performance category that includes an inventory of activities that assess how you improve your care processes, enhance patient engagement in care, and increase access to care. The inventory allows you choose the activities appropriate to your practice from categories such as, activities focused on care coordination, beneficiary engagement, and patient safety (e.g.,expanded practice access, such as same-day appointments for urgent needs).
To earn full credit in this category, participants must submit one of the following combinations of activities (each activity must be performed for 90 days or more during 2018):
- 2 high-weighted activities
- 1 high-weighted activity and 2 medium-weighted activities
- At least 4 medium-weighted activities
- View the list of Improvement Activity measures: Explore Improvement Activites Measures