Tuesday, January 25, 2022

CMS Releases Preliminary 2020 Performance Year Quality Payment Program Results

Centers for Medicare & Medicaid Services
Quality Payment Program

CMS Releases Preliminary 2020 Performance Year Quality Payment Program Results

Today, the Centers for Medicare & Medicaid Services (CMS) released an infographic to share preliminary participation data for the Quality Payment Program (QPP) in 2020.

CMS is pleased to share that despite the ongoing challenges caused by the COVID-19 Public Health Emergency, clinicians still overwhelmingly engaged* in QPP and submitted 2020 data.

*We define engaged clinicians as those who submitted some data to the program at the individual, group, virtual group, or APM Entity level (e.g., submitted one or more quality measures, attested to one or more improvement activities, etc.).

Key findings include:

  • 89.11% of MIPS eligible clinicians engaged in QPP.
  • The mean score for MIPS eligible clinicians rose from 85.63 in 2019 to 89.41 in 2020, while the median score rose from 92.31 in 2019 to 96.82 in 2020.
  • Overall, MIPS engagement declined from 869,899 clinicians in 2019 to 831,885 clinicians in 2020.
  • MIPS Alternative Payment Model (APM) participation decreased from 416,201 clinicians in 2019 to 398,719 clinicians in 2020.
  • 91% of eligible clinicians received a positive payment adjustment in 2020, with 80.56% of clinicians receiving an exceptional payment adjustment.**
  • The number of Qualifying APM Participants (QPs) rose from 195,564 clinicians in 2019 to 237,315 in 2020.

**The threshold for a positive score rose from 30.01 in 2019 to 45.01 in 2020, while the threshold for an exceptional payment adjustment rose from 75.00 in 2019 to 85.00 in 2020.

The final participation results will be available in the coming months. 

For More Information

Contact the Quality Payment Program at 1-866-288-8292 or by e-mail at: QPP@cms.hhs.gov. To receive assistance more quickly, consider calling during non-peak hours—before 10 a.m. and after 2 p.m. Eastern Time (ET).

  • Customers who are hearing impaired can dial 711 to be connected to a TRS Communications Assistant.

 


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