MACRA Resources

What is the Merit-Based Incentive Payment System?

If you participate in traditional Medicare fee-for-service rather than an Advanced APM, you will earn a performance-based payment adjustment to your Medicare payment through MIPS.

MIPS allows Medicare clinicians to be paid for providing high-quality, efficient care through success in four performance categories as shown below. Each category is weighted and added into a final performance score. Weights shown are for 2018.

1. Quality (50%) – Replaces Physician Quality Reporting System (PQRS) Most radiologists will report up to six quality measures including an outcome measure.
   Download a list of MIPS measures relevant to radiologists
    
2. Promoting Interoperability (25%) – Replaces the Medicare EHR Incentive Program, also known as Meaningful Use
   Most ACR members would likely be automatically reweighted to zero for the PI category as non-patient-facing eligible clinicians or hospital-based eligible clinicians.
    
3. Improvement Activities (15%) – New performance category
   Most participants will be required to complete up to four improvement activities. Small, rural and shortage area practices or non-patient-facing MIPS clinicians need half that requirement to meet the full performance criteria.
   Download a list of MIPS improvement activities suggested for radiology
    
4. Cost (10%) – Replaces cost component of Value Modifier program
   The cost category will measure Medicare Spending per Beneficiary (MSPB) and total per capita cost (similar to the previously known Value-Based Modifier Program). Cost will be calculated using claims and will not require data submission