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|Impact of ACOs on MIPS Payments - ACO Participation Can Increase MACRA Scores|
With the first
performance year for the new Merit-Based Incentive Payment System (MIPS)
underway, eligible clinicians must strategize payment implications under
the program. Unlike the Physicians Quality Reporting System, Meaningful
Use and the Value-Based Modifier, MIPS places the performance of each
clinician on a curve, and adjusts payments based on their precise
location in the distribution compared to others.
Caravan Health recently conducted a study comparing MIPS payment adjustments of ACO participants versus non-ACO participants, which illustrates that Medicare Shared Savings Program (MSSP) participation will enhance MIPS performance and increase the likelihood of receiving the exceptional performance bonuses.
Exceptional performance bonuses are only available the first five years of MIPS and, depending upon the number of exceptional performers, could receive up to ten percent in addition to the maximum positive payment adjustment, which is up to three times the penalty for the first five years of the program. Taking into account the scaling factor and the exceptional performance bonus, a top-performing practice could theoretically earn up to a 25% payment adjustment in the 2018 performance year.
Please join us Wednesday, May 17, 2017 at 1:00 PM Eastern as Caravan Health's LeeAnn Hastings, JD, MPH presents findings, insights, strategies and implications in this special 30+ minute HealthcareWebSummit event. Click here for detailed information and to register or call 209.577.4888.