Effective Performance Reporting
To achieve bonus reimbursements and/or avoid any negative payment adjustments in 2019, providers are required to report based on 2017 performance. Providers must either:
(1) Adequately participate in Advanced APMs or
(2) Successfully report through MIPS.
Advanced APM Qualifying Participants must have a certain threshold of patients or payments through their APM. For MIPS providers, their performance will be measured across the four MACRA/MIPS domains, including:
- Improvement activities
Above-average performances in one or both of these areas will likely lead to significant bonus payments in future years.
In addition, 2017 performance will impact providers’ 2018 performance and, thus, future penalties and bonuses. Specifically, the proposed rule released last month confirmed that providers’ 2017 quality metric performance will likely establish 2018 scores for cost and improvement activities. Therefore, strategic selection of such metrics will be essential for success in future years.