Primary care clinician participation in the CMS Quality Payment Program
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Rural policy brief
- Author(s):
- MacKinney, A. Clinton, author Ullrich, Fred, author Mueller, Keith J., author
- Contributor(s):
- RUPRI Center for Rural Health Policy Analysis, issuing body. Rural Health Research & Policy Centers, issuing body. Rural Policy Research Institute (U.S.), issuing body.
- Publication:
- Iowa City, IA : Rural Policy Research Institute, April 2019
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Primary Health Care Reimbursement, Incentive -- statistics & numerical data Rural Population Urban Population United States Centers for Medicare & Medicaid Services (U.S.)
- Genre(s):
- Technical Report
- Abstract:
- Purpose. This policy brief examines primary care clinician participation in the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP), parsed by clinician type (e.g., physician, physician assistant, advanced practice nurse), clinician specialty (e.g., general internal medicine, family medicine, general pediatrics), clinician practice location, and Advanced Alternative Payment Model (A-APM) or Merit-Based Incentive Payment System (MIPS) program participation. Low participation rates could identify opportunities to extend the QPP to more clinicians serving non-metropolitan populations. This analysis will inform policy makers and other key stakeholders working to improve the QPP. Key Findings. (1) Approximately 10 percent of primary care clinicians participate in an A-APM; less than 30 percent of primary care clinicians participate in MIPS.(2) Nearly 60 percent of primary care clinicians are exempt from MIPS and do not participate in an A-APM. (3) Metropolitan primary care clinicians are slightly more likely to participate in an A-APM than non-metropolitan primary care clinicians (11.3 and 7.8 percent, respectively); metropolitan primary care clinicians are slightly less likely to participate in MIPS than non-metropolitan primary care clinicians (29.4 and 31.7 percent, respectively). (4) Metropolitan and non-metropolitan primary care clinicians are exempt from MIPS at approximately the same rate (59.3 and 60.5 percent, respectively).
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (6 pages)).
- NLM Unique ID:
- 101771049 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101771049