The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) repealed the Medicare Part B Sustainable Growth Rate (SGR) reimbursement formula and replaced it with a new value-based reimbursement system called the Quality Payment Program (QPP). The QPP consists of two tracks:
- The Merit-based Incentive Payment System (MIPS)
- Advanced Alternative Payment Models (Advanced APMs)
The focus of this FAQ is on MIPS as a majority of eligible providers will be reporting through the MIPS track.
Starting in January 2022, MIPS will measure eligible providers in four performance categories to derive a final MIPS composite score of “0 to 100”. The four categories with their individual assigned scores in 2022 are:
- Quality = 30% (Decreased from 40%)
- Promoting Interoperability (PI) = 25%
- Improvement Activities (IA) = 15%
- Cost = 30% (Increased from 20%)