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 2019 QPP Final Rule introduced Cost this year at 15%, so CMS is decreasing Quality’s weight to 45% to compensate. The PI and IA categories will remain at 25% and 15%, respectively.
To avoid 7% penalty in 2021, physicians need to score at least 30 MIPS points