Fact Sheets: Post-SGR Payment Policy: MIPS
MACRA replaced the Sustainable Growth Rate (SGR) and created the Merit-based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) program.
MACRA replaced the Sustainable Growth Rate (SGR) and created the Merit-based Incentive Payment System (MIPS) and the Alternative Payment Model (APM) program.
Under MIPS, eligible clinicians (ECs) will report on four categories that will add up to a composite performance score. The composite performance score will be used by CMS to determine whether or not an EC will receive a bonus payment or will be subject to a payment reduction. CY 2019 payment adjustments will be based on CY 2017 reporting.
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ADVANCING CARE INFORMATION (ACI) 25% of the total score in 2019 |
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RESOURCE USE 10% of the total score in 2019 |
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QUALITY 50% of the total score in 2019 |
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CLINICAL PRACTICE IMPROVEMENT ACTIVITIES (CPIA) 15% of the total score in 2019 |
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We have established Regent℠, a qualified clinical data registry (QCDR), which will:
- Help Members navigate evolving payment models and quality programs
- Focus on longitudinal perspective of clinical care
- Inform healthcare at a national level through clinical research
- Assist with satisfying Maintenance of Certification needs for Members
- House measures across all specialties of otolaryngology-head and neck surgery
To learn more visit, www.entnet.org/content/alternative-payment-models.
Download a pdf of “Post-SGR Payment Policy: MIPS.”