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    7 things physicians need to know about MACRA proposed rule

     

    5. MIPS will pay physicians based on four performance categories

    Broadly speaking, MIPS will combine Medicare’s existing payment programs—the physicians quality reporting system (PQRS), meaningful use of electronic health records (EHRs) and the value-based modifier—into one program.

    MIPS will adjust physician pay based on their total composite performance score, which will be determined from four categories: Quality care, cost-of-care/resource use, clinical practice improvement activities and the newly-branded “advancing care information” program, which is the new name for a modified meaningful use program. Here’s a breakdown of how each category will be weighted:

    MIPS performance categories

    2019

    2020

    2021 and beyond

    Quality

    50%

    45%

    30%

    Advancing Care Information (formerly meaningful use)

    25%

    25%

    25%

    Clinical practice improvement activities

    15%

    15%

    15%

    Cost / Resource use

    10%

    15%

    30%

    Total Composite Performance Score

    100%

    100%

    100%

    Next: What about quality?

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    • Anonymous
      It will likely take 1 high salaried or 2 low salaried employees to do the required documentation for this nonsense. Another nail in the coffin for private practice. However, even very large group practices will struggle to meet these requirements.
    • Anonymous
      It will likely take 1 high salaried or 2 low salaried employees to do the required documentation for this nonsense. Another nail in the coffin for private practice. However, even very large group practices will struggle to meet these requirements.

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