decisionhealth Newsletters, Part B News - 2020 Issue 7 (July)
APMs, QPs and groups gain, virtual groups vanish in Quality Payment Program Report
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Article Overview
This article summarizes findings from CMS’ 2018 Quality Payment Program Experience Report and focuses on participation trends across MIPS, qualifying APM participants, MIPS APM reporting, group and individual reporting, and virtual groups. It is useful for readers tracking QPP program movement, CMS reporting patterns, and high-level changes in clinician participation over time.
Why This Topic Matters
The report helps practices, coders, and compliance staff understand how participation in CMS quality programs is changing and which reporting pathways are becoming more common. That context can matter for planning, benchmarking, and staying current with Quality Payment Program developments.
Article Sections
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Benchmark of the week
Introduces the CMS report and frames the article’s focus on overall participation trends in the Quality Payment Program.
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MIPS participation, 2017-2018
Presents a year-over-year snapshot of MIPS eligible clinicians, participants, and participation rates.
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MIPS participation by type
Summarizes how participation is distributed across broad reporting categories for the two years discussed.
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Participation by clinician type, 2018
Shows participation rates by clinician category within the 2018 reporting year.
What You Will Learn
- How CMS reported participation trends in the Quality Payment Program
- How MIPS participation changed from 2017 to 2018
- How participation is described across broad reporting categories
- How clinician participation varies by clinician type
- What the report says about virtual group activity
Who Should Read This
- Medical coders
- Practice managers
- Compliance professionals
- Healthcare administrators
- Clinicians participating in CMS quality programs
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