American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Overview of Medicare Quality Programs

Starting in 2017, the Centers for Medicare & Medicaid (CMS) merged its previous physician quality programs into the Merit-based Incentive Payment System (MIPS). MIPS includes four components: Quality, formerly known as the Physician Quality Reporting System (PQRS); Advancing Care Information (ACI), formerly known as Electronic Health Record Incentive Payment Program, or Meaningful Use; Cost, formerly known as the Physician Value-Based Payment Modifier (VM) program; and Improvement Activities, a new category. These four components combine to form a MIPS Final Score that determines a MIPS eligible clinician’s Medicare Part B incentive payment for the payment year.  

For 2017, Quality accounts for 60 percent of the MIPS final composite score, and ACI and IA account for 25 and 15 percent, respectively. Due to ongoing development, the Cost component has a weight of zero. 

For more information on the MIPS program, please visit the ACS Quality Payment Program Resource Center.