Table 2. Merit-Based Incentive Payment System (MIPS) Performance Category and Overall Scores for Otolaryngologists in 2017, Stratified by Reporting Affiliation.
| Affiliation | No. | Median, IQR | |||
|---|---|---|---|---|---|
| Quality (60%)a,b | Promoting interoperability (25%)a,b | Improvement activities (15%)a,b | Overall (100%)b | ||
| Individual | 1990 | 68.1 (25.0-86.6) | 87.0 (0-100.0) | 40.0 (20.0-40.0) | 74.7 (23.8-88.3) |
| Group | 3033 | 91.4 (0-100.0) | 100.0 (0-100.0) | 40.0 (0-40.0) | 92.0 (15.0-100.0) |
| APMc | 964 | 93.9 (86.7-98.8) | 89.8 (71.0-97.4) | 40.0 (40.0-40.0) | 91.7 (85.9-97.0) |
Abbreviations: APM, alternative payment model; IQR, interquartile range; MSSP, Medicare Shared Savings Program.
a
Parenthetical percentages denote category weight for determination of overall score. Category weights differed for APM participants and by APM type.
b
The maximum possible score for the improvement activities category was 40 points; the maximum quality, improvement activities, and overall scores were 100 points.
c
APMs are models of payment in which financial risk is accepted for care provided. Examples includeMSSP accountable care organization and Next Generation Accountable Care Organization models.