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Medical Group Management Association

Government Advocacy

The voice of medical practices in Washington

Engage with a team that advocates on your behalf and translates complex regulations into focused updates on the latest health issues from Washington.

MIPS

The Merit-based Incentive Payment System (MIPS) is in the fifth performance year in 2021. Eligible clinicians will be subject to upward, neutral, or downward payment adjustments in 2023 based on their performance this year in four performance categories: quality, cost, promoting interoperability (formerly advancing care information), and improvement activities. Each MIPS performance category is weighted to contribute to your final MIPS score, which is calculated out of 100 points. Scoring 60 points or higher will avoid a 9% penalty, while higher scores may qualify for a modest bonus.


2022 MIPS Resources

MGMA Member-Benefit Resources:

  • Analysis: Proposed 2022 Medicare Physician Payment and Quality Reporting Changes
  • Analysis: Proposed MIPS Value Pathways


2021 MIPS Resources

MGMA Member-Benefit Resources:

  • Analysis: Final 2021 Medicare Physician Payment and Quality Reporting Changes
  • Resource: MIPS APM Reporting through new APM Performance Pathway (2021)


2020 MIPS Resources

MGMA Member-Benefit Resources:

  • Analysis: Final 2020 Medicare Physician Payment and Quality Reporting Changes



Centers for Medicare & Medicaid Services (CMS) Resources:

  • MIPS results – Review your group’s score and how it will impact your Medicare reimbursement 
  • Resource Library – Access official CMS resources, including measures, benchmarks, and reporting details
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