decisionhealth Newsletters, Part B News - 2017 Issue 5 (May)
Spruce up your MIPS scores for the public as CMS sends them to consumer sites
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Article Overview
This article is about the public reporting of Medicare MIPS performance information and the broader visibility that may follow as CMS data moves to Physician Compare, downloadable Medicare datasets, and other consumer-facing platforms. It is relevant to clinicians, practice managers, and coding or compliance professionals who want to understand how MIPS reporting choices may affect public perception and data exposure. The discussion focuses on CMS reporting policy, the role of third-party data entities, and how missing or low-performing measures may be displayed in public contexts.
Why This Topic Matters
Public reporting can influence how patients, employers, insurers, and other observers view clinician performance. Understanding the reporting environment helps practices anticipate reputational impacts and monitor how MIPS data may be presented outside CMS.
Article Sections
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Quality reporting
Introduces the public reporting of MIPS data and the CMS channels involved in making performance information available. It frames the topic around quality reporting and visibility of clinician performance data.
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Yelp and qualified entities
Discusses the potential reuse of CMS data by third-party websites and qualified entities, and the broader exposure that may result. It also covers the types of organizations that may access or republish clinician-level performance information.
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How one-and-done affects scores
Explains how limited reporting and missing measures may be represented in public reporting environments. It addresses the difference between absent data and reported low performance in the public display context.
What You Will Learn
- How CMS plans to publish MIPS performance information
- Which public and third-party channels may surface clinician data
- Why reported and unreported performance may appear differently to outside viewers
- How public reporting can affect perception of clinician performance
Who Should Read This
- Clinicians participating in MIPS
- Practice administrators
- Quality reporting staff
- Coding and compliance professionals
- Healthcare organizations monitoring public performance data
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