Figure 2. Merit-Based Incentive Payment System (MIPS) Reported Affiliations and Payment Adjustments for Otolaryngologists, 2017.

A, MIPS reporting affiliation of otolaryngologists in 2017. “Other” category includes clinicians requesting that Centers for Medicare & Medicaid Services (CMS) re-review their MIPS scores for potential errors and clinicians selecting the minimum participation option (eg, “pick your pace,” available only in 2017). The CMS did not provide reporting affiliations for either type of clinician. B, Stacked bar chart comparing MIPS payment adjustments for otolaryngologists in 2017, stratified by reporting affiliation. The 2017 payment adjustments were implemented in 2019. Scores between 0 and 3 points were not possible. APM indicates alternative payment model.