2018 MACRA Quality Payment Program

About MIPS 2018

Merit-Based Incentive Payment System (MIPS) is the default QPP pathway most physicians will (initially) participate in. Download the ACS manual on 2018 participation in MIPS.

Components

• Quality (formerly PQRS)
• Promoting Interoperability (formerly Advancing Care Information)
• Improvement Activities (IA)
• Cost

Scoring

• A single MIPS final score will factor in performance in the four categories on a 0 to 100 point scale.
• Surgeons can receive positive or negative payment adjustments based on their final score (see diagram below).

MIPS Implementation Resources

Understanding the Program

Glossary of Acronyms and Terms

Fact Sheets

• Navigating MIPS in 2018
• MIPS Reporting: Individuals or Groups
• MIPS Reporting: Pathway toward Potentially Receiving a Positive Payment Update
• The MIPS Final Score and Payment Updates
• Support for Rural Surgeons and Individual or Small Group Practices

The Complete Briefing Book

Alternative Payment Models (APMs) and Advanced APMs

APMs provide a model for paying physicians that differs from the traditional fee-for-service construct. The goal of APMs is to improve the quality and value of care provided, reduce growth in health care spending, or both. On the QPP website, CMS describes APMs as payment models that create incentives for clinicians to provide high-quality, cost-efficient care for a specific clinical condition, episode of care, or population.

Learn more