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The 2020 Quality Payment Program Final Rule makes several changes including:
1. Increasing the MIPS performance threshold from 30 to 45 points to avoid a penalty and increasing the exceptional performance threshold from 80 to 85 points.
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Learn more about readmission penalties, including what's at stake for poor readmission performance and which states had the most hospitals penalized in 2020.
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The proposed rule outlines several changes to the 2020 Quality Payment Program:
1. The MIPS performance threshold will increase from 30 to 45 points. Eligible clinicians must score at least 45 points to avoid a penalty and 80 points to receive an exceptional performance bonus.
2. CMS will post 2018 MIPS performance scores on Physician Compare in late 2019. Scores will include minimum, maximum and final scores.
3. Category weights have been modified, with Quality decreasing from 45% to 40% and Cost increasing from 15% to 20% in 2020.
4. Data completeness thresholds are increasing for all measure types to 70% of applicable patients.
2020 MIPS Proposed Rule: Key Highlights
The proposed rule outlines several changes to the 2020 Quality Payment Program:
1. The MIPS performance threshold will increase from 30 to 45 points. Eligible clinicians must score at least 45 points to avoid a penalty and 80 points to receive an exceptional performance bonus.
2. CMS will post 2018 MIPS performance scores on Physician Compare in late 2019. Scores will include minimum, maximum and final scores.
3. Category weights have been modified, with Quality decreasing from 45% to 40% and Cost increasing from 15% to 20% in 2020.
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The proposed rule outlines several changes to the 2020 Quality Payment Program:
1. The MIPS performance threshold will increase from 30 to 45 points. Eligible clinicians must score at least 45 points to avoid a penalty and 80 points to receive an exceptional performance bonus.
2. CMS will post 2018 MIPS performance scores on Physician Compare in late 2019. Scores will include minimum, maximum and final scores.
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Take a closer look at what it means to get hit with a penalty from one particular program: The Hospital-Acquired Condition (HAC) program.
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