decisionhealth Newsletters, Part B News - 2017 Issue 7 (July)
Increasing participation in PQRS — harbinger of MIPS success?
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Article Overview
This article reviews CMS-reported participation trends in PQRS from 2007 through 2015 and places them in the context of the newer Quality Payment Program and MIPS. It is relevant to coding, quality reporting, and practice management audiences who want to understand how provider participation patterns, reporting methods, and specialty participation have evolved over time.
Why This Topic Matters
Participation patterns in prior CMS quality programs can help practices gauge readiness for newer payment and reporting models. The article highlights why reporting method, group size, and specialty mix matter for organizations preparing for MIPS-era performance measurement.
Article Sections
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Benchmark of the week
A brief framing section introducing the article’s focus on participation trends and their possible implications for later CMS quality programs.
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PQRS participation trends, 2007 to 2015
A summary of historical participation growth in PQRS and related changes over time, including comparisons across reporting approaches and provider groups.
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Specialty participation and reporting performance
An overview of which specialties participated most and general observations about reporting performance across different submission methods and clinician types.
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Trends in PQRI/PQRS participation, 2007 to 2015
A closing reference to the trend presentation and source material associated with the participation data.
What You Will Learn
- How PQRS participation changed over time
- How participation patterns relate to MIPS and the Quality Payment Program
- Which broad reporting approaches were discussed
- Which specialty groups were highlighted in the participation discussion
- How CMS reporting experience data can inform program readiness
Who Should Read This
- Medical coders
- Quality reporting staff
- Physician practice administrators
- Compliance professionals
- Billing and reimbursement teams
- Healthcare consultants
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