MIPS changes impacting 2020

CMS has analyzed cost data for the 2020 performance year. Based on their findings, CMS announced on 5/21/22 that the Cost Category will be reweighted. This could definitely impact your payment adjustment in 2022!

Reasons include:

  • significantly reduced utilization, 

  • impact of hospitalizations related to COVID 19, and 

  • decreased number of providers and practices meeting the minimum thresholds for the cost measures

What does this mean for you? 

Your final MIPS score for 2020 will be adjusted as follows for Individuals/Groups reporting:

  • All categories

    • Quality = 55%

    • Improvement Activities (IA) = 15% 

    • Promoting Interoperability (PI) = 30%

  • Quality and Improvement Activities (IA)

    • Quality = 85%

    • IA = 15%

  • Improvement Activities (IA) and Promoting Interoperability (PI)

    • IA = 15%

    • PI = 85%

  • Quality and Promoting Interoperability (PI)

    • Quality = 70%

    • PI = 30%

This adjustment will be automatically applied by CMS, so you do not need to do anything other than be aware.