CMS Releases 2017 Quality Payment Program Performance Results

11/8/2018
On November 8, 2018, the Centers for Medicare & Medicaid Services (CMS) released 2017 performance results for the Quality Payment Program. Data elements show significant success and participation in both the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Model (APM) tracks. Seema Verma, CMS Administrator, announced that program year one exceeded the year one participation goal of 90%.
 
Most participating clinicians were successful, although the positive payment adjustments will be small. The first year of the program was designed to ease clinicians into the program, and CMS plans to gradually increase performance thresholds for "an evolving distribution of payment adjustments." "Admittedly, the MIPS positive payment adjustments are modest," CMS Administrator Seema Verma said in a statement about the results. "It is important to remember that the funds available for positive payment adjustments are limited by the budget neutrality requirements in MIPS, as established by law under the Medicare Access and CHIP Reauthorization Act of 2015."

Highlights of the 2017 QPP Performance Year

% Participated Payment Adjustment(s) Total MIPS Score(s)
71% Positive payment adjustment plus exceptional performance adjustment 70-100 points
22% Positive payment adjustment only 3.01 – 69.99 points
2% Neutral adjustment (no increase or decrease) 3 points
5% Negative payment adjustment 0 points

Scoring Highlights

Participant Type Median Score (average) Mean Score (middle score)
MIPS 83.04 points 65.71 points
APMs 91.67 points 87.64 points
Small Practices
(< 15 clinicians)
37.67 points 43.46 points
Large Practices
(> 16 clinicians)
90.29 points 74.37 points

Additional Result Information
  • The maximum positive payment adjustment was 1.88 percent and the maximum negative payment adjustment was minus 4 percent.
  • More than 1 million clinicians participated in the QPP.
  • More than 99,000 clinicians were qualifying APM
For a complete breakdown of the 2017 performance data, please see the 2017 Quality Payment Program Performance Year Data Infographic.