Making Sense of MACRA

A Guide for the Employed Physician

All About MIPS

Learn all you need to know about MIPS participation with the Making Sense of MACRA: A Guide for the Employed Physician Supplement.

Members Only

(3MB PDF)

macra ready

A Guide for the Employed Physician

All About MIPS

Learn all you need to know about MIPS participation with the Making Sense of MACRA: A Guide for the Employed Physician Supplement.

Members Only

(3MB PDF)

The final rule for MACRA implementation, released October 2016, establishes that 2017 will be the first performance year physicians will be scored to determine payment adjustments in 2019. Physicians will choose between two payment tracks:

MIPS and AAPMs are collectively referred to as the Quality Payment Program (QPP). The initial performance period begins in 2017.

Unless you are participating in an AAPM, family physicians in the employed setting will still need to report under MIPS. Reporting at any level in 2017 will avoid a negative payment adjustment in 2019.

 

Why You Need to Understand MIPS Reporting Requirements

Employed physicians need to understand the MIPS reporting requirements for several reasons:

  • Final scores are attached to individual national provider identifiers (NPIs), even for those reporting as a group. Should a physician change practices between the performance period and payment year, any payment adjustments would follow them to their new practice.
  • Performance in MIPS could affect salary and compensation contracts. Since performance can result in either positive or negative payment adjustments, physicians should be prepared to see this reflected in employment contracts. A strong performance in MIPS should lead to higher salary/compensation for the physician.
  • Physicians should also take into consideration the MIPS scores of practices they are considering joining.

Download the Making Sense of MACRA: A Guide for the Employed Physician Supplement(1 MB PDF) for more information on what you need to know about MIPS participation.