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MIPS JUST GOT REAL
YOUR SCORES AND
INCENTIVES ARE AT RISK
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
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
Earn an additional 3%+
on your Part B claims
without having to see
another patient
OPPORTUNITY
OPPORTUNITY
5
2019 MIPS maximum
incentive payments are
increasing by 150%
from 1.88% to 4.7%
150%
$-
$50,000
$100,000
$150,000
$200,000
$250,000
$300,000
$350,000
60 65 70 75 80 85 90 95 100
FINANCIAL IMPACT ANALYSIS
OUR ANALYSIS SHOWS:
An organization
with $7M Part B and
120 clinicians, can
earn $9,753 for
each additional
point over 75
OPPORTUNITY
6
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
• 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
1,400+ pages of MIPS regulations2X
PER YEAR
99
How much time are
you spending to
understand the rules
and determine the
impact to your
organization?
CHALLENGE
10
THE SA IGNITE TEAM
Invests 41,000+ hours annually
Has experience with 14,000+ clinicians
Integrates with 20+ EHRs
11
SA Ignite customers earned an
average 2017 MIPS score of 95
and are poised and ready to
seize the opportunity in 2019
OPPORTUNITY
12
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
13
ESTABLISH
GOALS
MEASURE
PERFORMANCE
MASTER
MIPS RULES
OPTIMIZE YOUR
STRATEGY
SA Ignite helps you secure your success in MIPS
SOLUTION
15
Schedule Your 2019 MIPS Consultation Today*
*Fill out the form to see if you qualify

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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
  • 5. OPPORTUNITY 5 2019 MIPS maximum incentive payments are increasing by 150% from 1.88% to 4.7% 150%
  • 6. $- $50,000 $100,000 $150,000 $200,000 $250,000 $300,000 $350,000 60 65 70 75 80 85 90 95 100 FINANCIAL IMPACT ANALYSIS OUR ANALYSIS SHOWS: An organization with $7M Part B and 120 clinicians, can earn $9,753 for each additional point over 75 OPPORTUNITY 6
  • 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
  • 9. 1,400+ pages of MIPS regulations2X PER YEAR 99
  • 10. How much time are you spending to understand the rules and determine the impact to your organization? CHALLENGE 10
  • 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 12
  • 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 13
  • 14. ESTABLISH GOALS MEASURE PERFORMANCE MASTER MIPS RULES OPTIMIZE YOUR STRATEGY SA Ignite helps you secure your success in MIPS SOLUTION
  • 15. 15 Schedule Your 2019 MIPS Consultation Today* *Fill out the form to see if you qualify