Table 2:
Changes to the Merit-based Incentive Payment System and Advanced Alternative Payment Models over Time
| MERIT-BASED INCENTIVE PAYMENT SYSTEM |
2018 | 2019 | 2020 | 2021 | 2022+ |
|---|---|---|---|---|---|
| Composite Score Weights * | |||||
| - Quality | 50% | 45% | 40% | 35% | 30% |
| - Cost | 10% | 15% | 20% | 25% | 30% |
| - Improvement Activities | 15% | 15% | 15% | 15% | 15% |
| - Promoting Interoperability | 25% | 25% | 25% | 25% | 25% |
| Payment Adjustments † | - | ± 4% | ± 5% | ± 7% | ± 9% |
| ADVANCED ALTERNATIVE PAYMENT MODELS |
2018 | 2019 | 2020 | 2021 | 2022+ |
| Required Risk Thresholds § | |||||
| - % of Medicare Payments | 25% | 50% | 50% | 75% | 75% |
| - % of Medicare Patients | 20% | 35% | 35% | 50% | 50% |
Notes:
*
Composite score weights for the Merit-Based Incentive Payment System for each corresponding performance year
†
Payment adjustment amounts are listed for payment years (2 years after the performance year). Payment adjustments for the Merit-Based Incentive Payment System were not relevant for payment year 2018.
§
Required risk thresholds for a provider to qualify as an Advanced Alternative Payment Model. Specifically, the proportion of a provider’s Medicare Part B payments and Medicare Part B patients seen through the Alternative Payment Model must exceed the threshold for the corresponding performance year.