decisionhealth Newsletters, Part B News - 2020 Issue 11 (November)
QPP 2019 wrap: High participation and scoring rates but low bonuses
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Article Overview
This article summarizes preliminary CMS findings on 2019 Quality Payment Program performance, with emphasis on participation levels, average scoring, payment adjustment patterns, and the size of the exceptional performance bonus pool. It also notes how broader program changes and exception policies affected outcomes for clinicians and small practices. The piece is useful for coding and compliance professionals tracking Medicare quality reporting trends, MIPS participation, and CMS program developments.
Why This Topic Matters
It helps readers understand how CMS assessed 2019 QPP/MIPS performance and why high participation did not translate into large bonus payments. This is relevant for practices monitoring Medicare quality program exposure, benchmarking performance, and anticipating future program changes.
What You Will Learn
- How CMS reported 2019 participation and scoring trends in QPP and MIPS
- What the article says about payment adjustment outcomes and bonus pool effects
- How small practice participation and APM track results are presented in the CMS update
- Which broader CMS policy themes are discussed in connection with program performance
Who Should Read This
- Medical coders
- Compliance staff
- Practice managers
- Quality reporting teams
- Healthcare administrators
- Physician billing staff
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