OneHealth New Jersey wants to help Medical Society of New Jersey members have the best opportunity to earn positive incentives under the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP) and the Merit-Based Incentive Payment System (MIPS) requirements. In 2019 all MIPS participants will be required to use certified health technology for data sharing. Meeting Promoting Interoperability measures may be simplified for organizations utilizing OneHealth New Jersey because the secure electronic exchange of health information is the core of the OneHealth professional tools and services.
OneHealth New Jersey is committed to helping physicians participate in MIPS, and encourages providers to visit www.onehealthnewjersey.com to learn more to determine provider eligibility status, identify and review quality measures, identify Clinical Improvement Activities, review Promoting Interoperability scores, and select a measure submission method.
Highlights of the 2019 MIPS program*:
Performance category percentages have changed slightly, and for 2019 will be Quality: 45%;
Cost: 15%; Improvement Activities: 15%; and Promoting Interoperability: 25%.
An additional $500 million for exceptional performance is available to eligible clinicians whose final score meets or exceeds the additional performance threshold of 75 points.
The maximum negative payment adjustment is -7% (the maximum positive payment adjustment generally can be up to 7%) for 2019 performance year.
The small practice bonus will increase to 6 points, and move to the Quality performance category.
CMS implemented a performance threshold of 30 points.
A combination of collection types will be allowed for the Quality performance category.
Data completeness requirements are the same as Year 2 (60% of clinician's or group's patients across all payers for the performance period).
Opportunities to participate are expanding to new eligible provider types, including physical therapists, occupational therapists, qualified speech-language pathologists, qualified audiologists, clinical psychologists, and registered dietitians or nutrition professionals.
An opt-in policy is added to allow some, who otherwise would have been excluded under the low-volume threshold, the option to participate in MIPS. Clinicians can opt-in if they meet or exceed at least one, but not all three, of the low-volume threshold criteria.
*Article sources: Review the complete PFS Final Rule and the Year 3 Quality Payment Program policies, by accessing the following resources:
Executive Summary – provides a high-level summary of the Quality Payment Program Year 3 final rule policies.
Fact Sheet – offers an overview of the policies for Year 3 (2019) and compares these policies to the current Year 2 (2018) requirements.