MIPS performance threshold up to 15 points from 3 — but small practices get a break

Why This Topic Matters

The proposed changes affect whether practices avoid penalties, how they qualify for exclusions, and what level of reporting is needed to earn scores under MIPS. Readers need this information to understand proposed operational and payment impacts and to prepare for future reporting requirements.

Article Sections

1. MIPS scoring threshold and penalty changes

   Overview of proposed changes to the minimum score needed to avoid a penalty and the related payment adjustment for the upcoming cycle.

2. Small practice boost

   Discussion of proposed low-volume exclusion changes and other accommodations intended to benefit smaller practices participating in the program.

3. Points for improvement

   Summary of proposed scoring opportunities tied to year-over-year performance improvement and how they may affect participation strategy.

4. Measures mostly the same

   High-level overview of proposed reporting expectations across the main scored categories, including use of certified electronic health record technology and related flexibility.

5. More notable proposed QPP provisions

   Coverage of additional proposed policy changes affecting category weights, resource use scoring, reporting periods, virtual groups, and risk requirements for advanced alternative payment models.