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At first glance, CMS’s recently released 2022 QPP Experience Report (PDF) seems reassuring, because the majority of clinicians avoided financial penalties under MIPS. Don’t be fooled! While overall success and failure rates in the report may lead you to conclude that merely participating in the QPP (either in MIPS or as an APM) is enough to do well, trends in the report tell a very different story:
Without a concerted and cohesive strategy to simultaneously improve efficiency and demonstrably improve quality, providers will begin to see their consistent results fall short of minimum performance thresholds.
The QPP Experience Report details participation in the MIPS and APM tracks of the Quality Payment Program (QPP). Performance results focus on MIPS, from both the Traditional MIPS participation and MIPS APM tracks. (MSSP ACO performance results are released separately.)
Although these results are from 2022, there is plenty of actionable information that you can use to your advantage. In particular, there are three critical underlying—yet profoundly impactful—findings that health systems and providers should proactively address in order to avoid (or undo) financial penalties based on their performance in 2024 and beyond.