MACRA
The Merit-Based Incentive Payment System (MIPS) & Alternative Payment Models (APMs)
MACRA
MIPS Timeline
MIPS CONSOLIDATES AND STREAMLINES STANDALONE QUALITY INITIATIVES FOR MEDICARE PART B HEALTHCARE PROVIDERS
Proposed MIPS Payment Schedule
| PERFORMANCE YEAR | ADJUSTMENT YEAR** | POSITIVE ADJUSTMENT | NEGATIVE ADJUSTMENT |
| 2017 | 2019 | +4% | -4% |
| 2018 | 2020 | +5% | -5% |
| 2019 | 2021 | +7% | -7% |
| 2020 | 2022 | +9% | -9% |
**Adjustment year indicates the year the provider can expect to see an increase or decrease in payment.
NOTICE: On September 8, 2016, CMS' Acting Administrator, Andy Slavitt, acknowledged the concerns expressed regarding
the start date of January 1, 2017 and provided three options for those choosing to participate in MIPS. These include:
| 1. TEST MIPS – participate by submitting some data during 2017 to avoid penalties, |
2. PARTICIPATE FOR PART OF THE CALENDAR YEAR – submit data for less than the full calendar year (2017) to qualify to receive a small positive payment adjustment, or |
3. PARTICIPATE FOR THE FULL CALENDAR YEAR – submit data for the entire calendar year (2017) to qualify for a modest payment adjustment. |
SOURCE: https://blog.cms.gov/2016/09/08/qualitypaymentprogram-pickyourpace/
QUALITY INITIATIVE KEY
VM: Value-Based Payment Modifier
PQRS: Physician Quality Reporting System
MU: Meaningful Use
EHR: Electronic Health Record
MSSP: Medicare Shared Savings Program
PQRS: Physician Quality Reporting System
MU: Comprehensive Primary Care Plus
