Table 1 to Paragraph (c) Introductory Text
For the 2019 MIPS payment year: |
Final score = [(quality performance category score * quality performance category weight) + (cost performance category score * cost performance category weight) + (improvement activities performance category score * improvement activities performance category weight) + (Promoting Interoperability performance category score * Promoting Interoperability performance category weight)], not to exceed 100 points. |
For the 2020 MIPS payment year: |
Final score = [(quality performance category score * quality performance category weight) + (cost performance category score * cost performance category weight) + (improvement activities performance category score * improvement activities performance category weight) + (Promoting Interoperability performance category score * Promoting Interoperability performance category weight)] * 100 + [the complex patient bonus + the small practice bonus], not to exceed 100 points. |
Beginning with the 2021 MIPS payment year: |
Final score = [(quality performance category score * quality performance category weight) + (cost performance category score * cost performance category weight) + (improvement activities performance category score * improvement activities performance category weight) + (Promoting Interoperability performance category score * Promoting Interoperability performance category weight)] * 100 + the complex patient bonus, not to exceed 100 points. |
Table 2 to Paragraph (c)(2)(ii)(A)
Performance category (%) | Weighting for the 2019 MIPS payment year (%) | Reweight scenario if no promoting interoperability performance category score (%) | Reweight scenario if no quality performance category score (%) | Reweight scenario if no improvement activities performance category score (%) |
Quality | 60 | 85 | 0 | 75 |
Cost | 0 | 0 | 0 | 0 |
Improvement Activities | 15 | 15 | 50 | 0 |
Promoting Interoperability | 25 | 0 | 50 | 25 |
Reweighting scenario | Quality (%) | Cost (%) | Improvement activities (%) | Promoting interoperability (%) |
No Reweighting Needed: | ||||
-Scores for all four performance categories | 50 | 10 | 15 | 25 |
Reweight One Performance Category: | ||||
-No Cost | 60 | 0 | 15 | 25 |
-No Promoting Interoperability | 75 | 10 | 15 | 0 |
-No Quality | 0 | 10 | 45 | 45 |
-No Improvement Activities | 65 | 10 | 0 | 25 |
Reweight Two Performance Categories: | ||||
-No Cost and no Promoting Interoperability | 85 | 0 | 15 | 0 |
-No Cost and no Quality | 0 | 0 | 50 | 50 |
-No Cost and no Improvement Activities | 75 | 0 | 0 | 25 |
-No Promoting Interoperability and no Quality | 0 | 10 | 90 | 0 |
-No Promoting Interoperability and no Improvement Activities | 90 | 10 | 0 | 0 |
-No Quality and no Improvement Activities | 0 | 10 | 0 | 90 |
Reweighting scenario | Quality (%) | Cost (%) | Improvement activities (%) | Promoting interoperability (%) |
No Reweighting Needed: | ||||
-Scores for all four performance categories | 45 | 15 | 15 | 25 |
Reweight One Performance Category: | ||||
-No Cost | 60 | 0 | 15 | 25 |
-No Promoting Interoperability | 70 | 15 | 15 | 0 |
-No Quality | 0 | 15 | 40 | 45 |
-No Improvement Activities | 60 | 15 | 0 | 25 |
Reweight Two Performance Categories: | ||||
-No Cost and no Promoting Interoperability | 85 | 0 | 15 | 0 |
-No Cost and no Quality | 0 | 0 | 50 | 50 |
-No Cost and no Improvement Activities | 75 | 0 | 0 | 25 |
-No Promoting Interoperability and no Quality | 0 | 15 | 85 | 0 |
-No Promoting Interoperability and no Improvement Activities | 85 | 15 | 0 | 0 |
-No Quality and no Improvement Activities | 0 | 15 | 0 | 85 |
Reweighting scenario | Quality (%) | Cost (%) | Improvement activities (%) | Promoting interoperability (%) |
No Reweighting Needed: | ||||
Scores for all four performance categories | 45 | 15 | 15 | 25 |
Reweight One Performance Category: | ||||
No Cost | 55 | 0 | 15 | 30 |
No Promoting Interoperability | 70 | 15 | 15 | 0 |
No Quality | 0 | 15 | 15 | 70 |
No Improvement Activities | 60 | 15 | 0 | 25 |
Reweight Two Performance Categories: | ||||
No Cost and no Promoting Interoperability | 85 | 0 | 15 | 0 |
No Cost and no Quality | 0 | 0 | 15 | 85 |
No Cost and no Improvement Activities | 70 | 0 | 0 | 30 |
No Promoting Interoperability and no Quality | 0 | 50 | 50 | 0 |
No Promoting Interoperability and no Improvement Activities | 85 | 15 | 0 | 0 |
No Quality and no Improvement Activities | 0 | 15 | 0 | 85 |
Table 6 to Paragraph (c)(2)(ii)(E)
Reweighting scenario | Quality (%) | Cost (%) | Improvement activities (%) | Promoting Interoperability (%) |
No Reweighting Needed: | ||||
Scores for all four performance categories | 40 | 20 | 15 | 25 |
No Cost | 55 | 0 | 15 | 30 |
No Promoting Interoperability | 65 | 20 | 15 | 0 |
No Quality | 0 | 20 | 15 | 65 |
No Improvement Activities | 55 | 20 | 0 | 25 |
No Cost and no Promoting Interoperability | 85 | 0 | 15 | 0 |
No Cost and no Quality | 0 | 0 | 15 | 85 |
No Cost and no Improvement Activities | 70 | 0 | 0 | 30 |
No Promoting Interoperability and no Quality | 0 | 50 | 50 | 0 |
No Promoting Interoperability and no Improvement Activities | 80 | 20 | 0 | 0 |
No Quality and no Improvement Activities | 0 | 20 | 0 | 80 |
Table 7 to Paragraph (c)(2)(ii)(F)
Reweighting scenario | Quality (%) | Cost (%) | Improvement activities (%) | Promoting interoperability (%) |
No Reweighting Needed: | ||||
Scores for all four performance categories | 30 | 30 | 15 | 25 |
No Cost | 55 | 0 | 15 | 30 |
No Promoting Interoperability | 55 | 30 | 15 | 0 |
No Quality | 0 | 30 | 15 | 55 |
No Improvement Activities | 45 | 30 | 0 | 25 |
No Cost and no Promoting Interoperability | 85 | 0 | 15 | 0 |
No Cost and no Quality | 0 | 0 | 15 | 85 |
No Cost and no Improvement Activities | 70 | 0 | 0 | 30 |
No Promoting Interoperability and no Quality | 0 | 50 | 50 | 0 |
No Promoting Interoperability and no Improvement Activities | 70 | 30 | 0 | 0 |
No Quality and no Improvement Activities | 0 | 30 | 0 | 70 |
Table 8 to Paragraph (c)(2)(ii)(G)
Reweighting scenario | Quality (%) | Cost (%) | Improvement activities (%) | Promoting interoperability (%) |
No Reweighting Needed: | ||||
Scores for all four performance categories | 30 | 30 | 15 | 25 |
No Cost | 55 | 0 | 15 | 30 |
No Promoting Interoperability | 40 | 30 | 30 | 0 |
No Quality | 0 | 30 | 15 | 55 |
No Improvement Activities | 45 | 30 | 0 | 25 |
No Cost and no Promoting Interoperability | 50 | 0 | 50 | 0 |
No Cost and no Quality | 0 | 0 | 15 | 85 |
No Cost and no Improvement Activities | 70 | 0 | 0 | 30 |
No Promoting Interoperability and no Quality | 0 | 50 | 50 | 0 |
No Promoting Interoperability and no Improvement Activities | 70 | 30 | 0 | 0 |
No Quality and no Improvement Activities | 0 | 30 | 0 | 70 |
42 C.F.R. §414.1380