Your MIPS score will decrease by 12% – 16% in 2019 if the proposed changes are adopted in the final 2019 rule. SA Ignite analyzed de-identified MIPS performance data from 1,400+ clinicians and applied the proposed 2019 rule changes to detect this downward trend. Read the following slide-share to learn what is behind the decrease and what you can do to protect your MIPS score.
2024 Compliatric Webinar Series - Protecting LGBTQ Patients.pdf
MIPS Score Erosion in 2019
1. MIPS JUST GOT REAL
YOUR SCORES AND
INCENTIVES ARE AT RISK
2. MIPS scores will
drop 12-16% in 2019*
without informed and
targeted engagement
strategies
*SA Ignite analysis of MIPS performance data from 2017 and 2018
MIPS SCORE EROSION
2
70
75
80
85
90
95
100
2017 2018 2019
Org A Org B Org C Org D
3. MIPS IS GETTING REAL – 2019 PROPOSED RULE
Perfect score harder to
achieve with fewer and
more difficult measures
COST PI QUALITY
Weight increasing to
15% at expense of
Quality category
Measure benchmarks
getting tougher,
bonus points limited
3
$
EXCEPTIONAL PERFORMANCE THRESHOLD INCREASING TO 75
4. Earn an additional 3%+
on your Part B claims
without having to see
another patient
OPPORTUNITY
7. Alex Azar, HHS Secretary, comments on
modernizing Medicare, July – September 2018
• Physicians and hospitals need to be “accountable navigators of the
health system”
• ACOs need to take on greater risk so physicians have “real
accountability for outcomes”
• Expect ‘bold’ risk-based Medicare models
CHALLENGE
“CMS is committed to creating a Value-Based
Healthcare System for the 21st Century.”
8. 8
• Create better measures that are relevant to patient care and specialists
• Include more physicians in the program
• Create better opportunities for small practices
Physician Leaders Unanimously Support MIPS
During July, 2018 Congressional Testimony
10. How much time are
you spending to
understand the rules
and determine the
impact to your
organization?
CHALLENGE
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11. THE SA IGNITE TEAM
Invests 41,000+ hours annually
Has experience with 14,000+ clinicians
Integrates with 20+ EHRs
11
12. SA Ignite customers earned an
average 2017 MIPS score of 95
and are poised and ready to
seize the opportunity in 2019
OPPORTUNITY
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13. Christie Clinic
MADE GREAT
STRIDES
IN <3 MONTHS
by focusing on two highly
leveraged measures0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
MAY
FALL RISK SCREENING
DEPRESSION SCREENING
JULY OCT DEC
CASE STUDY
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