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MIPS Support for Large Practices is Changing this July

As we approach the third year of the Quality Payment Program and the Merit-based Incentive Payment System (MIPS), the Centers for Medicare & Medicaid Services (CMS) is making some changes. After July 17, 2019, CMS will no longer fund MIPS assistance to large practices through HQI or other Quality Innovation Network-Quality Improvement Organizations (QIN-QIOs). Read on to learn more about other MIPS support from CMS.

We will continue to provide high-level information about the Quality Payment Program, including MIPS, through our “In Practice” newsletter. We also will continue working with stakeholders to identify resources for successful participation in both governmental and commercial payors’ quality incentive programs, which we will share on LinkedIn, Twitter and Facebook. Please follow or like us today! Finally, our team of practice specialists is available to provide cost-effective MIPS and practice transformation services tailored to your specific needs. Click here to learn more.

CMS QPP Technical Assistance

For over two years, CMS has supported clinicians with Quality Payment Program technical assistance. As a part of their efforts to reduce burden on providers, and because they are planning to streamline and simplify MIPS, CMS is now shifting their focus to those clinicians most in need of support.

In 2017, CMS launched a comprehensive education and outreach effort to raise awareness and help clinicians successfully participate in the Quality Payment Program. One aspect of this campaign was to provide free technical assistance to clinicians eligible for the MIPS pathway of the Quality Payment Program, regardless of practice size. MIPS-eligible clinicians who are in large practices of 16 or more eligible clinicians received assistance from the QIN-QIOs, while those in smaller practices of 15 or fewer eligible clinicians were supported through the Small, Underserved, and Rural Support initiative. Additionally, clinicians in practices of any size could enroll in the Transforming Clinical Practice Initiative (TCPi) Practice Transformation Networks (PTNs) to receive MIPS-specific support and assistance in transitioning to an Alternative Payment Model (APM) or Advanced APM.

These technical assistance initiatives, along with support from professional associations, consumer advocates and other stakeholders, helped 95% of MIPS-eligible clinicians participate in the first year of the Quality Payment Program.

During 2018, the technical assistance networks provided direct, customized support to 94% of MIPS-eligible clinicians who were required to participate at the individual level, while maintaining a high standard of customer service. This resulted in a 98.7% customer satisfaction rating.

The goal of the Quality Payment Program is to make this a practical program for every clinician, regardless of specialty or practice size. CMS envisions moving MIPS toward a more cohesive experience that reduces participation and reporting burden, while also simplifying the current program requirements. Technical assistance offerings will begin to reflect a more streamlined future state and deliver focused solutions to clinicians who are most in need. CMS will also continue to provide free technical assistance to MIPS-eligible clinicians in small practices via the Small, Underserved, and Rural Support initiative, as well as support their transition to APMs to the extent possible through TCPi.

QPP Service Center

The Quality Payment Program Service Center is the primary point of contact to address your questions and concerns. The Service Center is equipped to manage very basic questions as well as more complex practice scenarios. Valuable best practices and lessons learned from the QIN-QIOs have been shared with the Service Center to ensure that you receive seamless and consistent support. Connect with the Service Center at 1-866-288-8292 (TTY 1-877-715-6222) or via email at QPP@cms.hhs.gov. The CMS Regional Offices also can assist in connecting clinicians to valuable program resources. The Regional Offices are a local presence and work closely with clinicians (as well as beneficiaries, stakeholders and others) to provide education and address questions. Finally, the Quality Payment Program website is available for resources and information. You can also subscribe to receive updates about new resources including free webinars, newsletters, and other updates on the website.

HQI is here to provide federally funded MIPS assistance to large practices until July 17, 2019. Ask us how you can receive customized, in-depth MIPS assistance through our cost-effective consulting services. Contact us at qpp@hqi.solutions or 1-844-357-0589.

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