MIPS Program

Merit-Based Incentive Payment System (MIPS)

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula, which threatened clinicians participating in Medicare with potential payment cliffs for 13 years. If you participate in Medicare Part B, you are part of the dedicated team of clinicians who serve more than 55 million of the country’s most vulnerable Americans.

You’re a part of the Quality Payment Program in 2017 if you bill Medicare more than $30,000 in Part B allowed charges a year and provide care for more than 100 Medicare patients a year. You must both meet the minimum billing and the number of patients to be in the program. If you are below either, you are not in the program.

Read the 2017 ICP MIPS Program - Core Activities

The first performance period opens January 1, 2017 and closes December 31, 2017. During 2017, record quality data and how you used technology to support your practice. You will also need to collaborate closely with ICP to submit your 2017 quality data and improvement activities. The link above provides the activities you must participate in and report on, as part of the ICP MIPS program. To potentially earn a positive payment adjustment under MIPS, you must be ready to report data about the care you provided and how your practice used technology in 2017 to CMS by the deadline, March 31, 2018. The link above shows what providers must do as part of the ICP MIPS program. Please contact Catherine Earle or Lisa Tshonas with any questions you may have on the ICP MIPS program at Catherine.Earle@hhchealth.org or Lisa.Tshonas@hhchealth.org

Integrated Care Partners