High rates of partial participation in the first year of the merit-based incentive payment system

September 2020. Since its inception in 2017, the Merit-Based Incentive Payment System has reported high rates of physician attestation and resulting payment bonuses from Medicare. We analyzed detailed reporting data from the first year of MIPS to understand variation how providers achieved their final MIPS scores, finding that 46% of physicians skipped at least one of the three component quality reporting categories. Despite this, many of these physicians still received payment bonuses for 2017. The removal of incentives to participate across all three program categories could result in providers being less prepared for penalties set to go into effect in 2022.

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