The Merit-Based Incentive Payment System: Mips Scoring Methodology Overview - Centers For Medicare & Medicaid Services Page 17

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MIPS Incentive Payment Formula
Exceptional performers receive additional positive adjustment
factor – up to $500M available each year from 2019 to 2024
Additional Performance Threshold
EPs above
performance
*+ 4%
*+ 5%
* + 7%
* + 9%
threshold =
positive
payment
Performance
adjustment
Threshold
Lowest 25%
-4%
-5%
-7%
-9%
= maximum
reduction
2020
2022 and onward
2019
2021
*MACRA allows potential positive adjustments
17
to be higher or lower than listed

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