Health Care Professionals With High Socially At-Risk Caseloads Received Reduced MIPS Performance Scores
In 2019, health care professionals with high social-risk caseloads scored 13.4 points lower on the Merit-based Incentive Payment System (MIPS) performance, compared to MIPS clinicians with the lowest social at-risk caseloads. If qualifying clinicians received the Complex Patient Bonus in 2019, it would have increased MIPS performance scores by about 4.7%, and the likelihood of receiving exceptional performance bonus payments by about 2.8%.
The researchers concluded that health care professionals with the highest proportion of consumers dually eligible for Medicare and …
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