Use benchmark data to predict — and boost — your MIPS quality scores

Why This Topic Matters

MIPS quality scores can depend on comparison with national benchmark data rather than simple completion of reporting, so understanding the scoring structure can affect measure selection and reporting strategy. The article helps readers interpret how quality performance is evaluated and why different reporting approaches may lead to different score outcomes.

Article Sections

1. Benchmark-based scoring in MIPS

   Introduces how quality performance is evaluated using historical benchmark data and why relative performance matters in the MIPS quality category.

2. Boost your benchmark prowess

   Outlines general steps for working with benchmark information to better understand reporting options and quality scoring opportunities.

3. Access the benchmark data files

   Describes where to find CMS benchmark resources and the related Quality Payment Program materials.

4. Filter by submission method and measure type

   Explains that benchmark data may vary by reporting approach and measure classification, and discusses how the data file is organized.

5. Use the benchmarks to make your quality measure selections

   Discusses using benchmark information when comparing reporting options and choosing quality measures for a reporting year.

6. Wait, watch and select your best-performing measures

   Covers the idea of evaluating performance in advance using sample data and benchmark comparisons before final reporting.

7. Decile scoring for MIPS quality measures, 2017

   Presents a general explanation of the decile-based scoring framework used to translate quality performance into points.