New Brief Addresses Metro-Non-metro Clinician Performance with MIPS

Differences in the Merit-based Incentive Payment System (MIPS) Performance of Clinicians in Metropolitan and Nonmetropolitan Counties in 2018

Mina Shrestha, PhD; Lili Xu, MS; Hari Sharma, PhD; Fred Ullrich, BA; A. Clinton MacKinney, MD; Keith Mueller, PhD

The Merit-based Incentive Payment System (MIPS) is a pay-for-performance system for clinicians under the Medicare Quality Payment Program designed to reward clinicians providing higher quality of care and lower costs. This study compared clinicians’ MIPS performance in 2018 based on their practice location, size, and minority population proportion.

Key Findings:

  • The overall performance in the MIPS program was comparable for metropolitan and nonmetropolitan clinicians. However, a smaller proportion of nonmetropolitan clinicians were likely to receive exceptional performance payments.
  • Most of the clinicians receiving reduced payments were in solo practice in both metropolitan and nonmetropolitan areas.
  • Clinicians serving a high proportion of minorities were less likely to get exceptional performance payments but were also less likely to have their payments reduced under MIPS.

Nonmetropolitan clinicians had a lower total risk-adjusted Medicare Spending Per Beneficiary than metropolitan clinicians indicating that nonmetropolitan clinicians have lower Medicare spending for similar beneficiaries.

The post New Brief Addresses Metro-Non-metro Clinician Performance with MIPS appeared first on Pennsylvania Office of Rural Health.

Recommend0 recommendationsPublished in My Healthy Pennsylvania, Rural Health PA

Related Articles

As Social Need Screening Advances, Transportation Remains an Afterthought

Some big changes in 2022 and 2023 have set up the healthcare sector to advance screening for non-medical social needs in 2024 and beyond. This is great news as we work to address social determinants of health (SDoH), improve health outcomes, and reduce health disparities. But one key social need – transportation – isn’t getting …
The post As Social Need Screening Advances, Transportation Remains an Afterthought appeared first on Salud America.

Medicare: What Latinos Should Know

Medicare can be a complex topic for anyone.   Getting health insurance coverage through Medicare has many moving parts, from knowing where to start, to searching through plans, to choosing the right plan for you.   Let’s dive into Medicare and a few helpful tips to consider when choosing your plan.   What is Medicare?   Medicare is the …
The post Medicare: What Latinos Should Know appeared first on Salud America.

Report: Over a Third of US Counties Are Maternity Care Deserts

The US is experiencing a maternity healthcare crisis where pre-term labors and infant and maternal mortality rates are up due to a lack of access to prenatal and postpartum care.  Many of these women live in areas designated as maternity care deserts. These are areas where pregnant individuals and mothers have limited or nonexistent access …
The post Report: Over a Third of US Counties Are Maternity Care Deserts appeared first on Salud America.

Research: In Rural Areas, Latinos Face Poverty and Other Inequities

This is part of the Salud America! Achieving a Cohesive Culture for Health Equity in Latino and All Communities: A Research Review» Disparities in Poverty Exist across Geography Disparities in poverty rates also exist across geography: child poverty rates are highest in rural counties, at 23.2%, compared to large urban metro areas (21.2%), smaller metro …
The post Research: In Rural Areas, Latinos Face Poverty and Other Inequities appeared first on Salud America.