Your 2020 Medicare Part B Payment Increase!

Augusta Care Partners participates in the Medicare Shared Savings Program (MSSP) as a Track 1 Accountable Care Organization (ACO). Track 1 ACO participating practices (like yours!) are assessed under MIPS using the Alternative Payment Model (APM) Scoring Standard. This means that all of our participating practices receive the same MIPS score.

What Is MIPS, and what does MIPS have to do with my practice?

The Merit Based Incentive Payment System (MIPS) is Medicare’s medical reimbursement framework for Part B payments. Based on your performance in MIPS in 2018, your payments for Medicare Part B services will be adjusted up or down in 2020.

So… How did we do?

We are very pleased to report that our network earned 100 out of 100 possible points in MIPS for 2018! This will result in a positive 2020 Part B payment adjustment of 1.68% for all Augusta Care Partners participating practices.

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Your 2018 MIPS performance was scored across 3 categories:

  • Quality = 50 out of 50 points!
    Augusta Care Partners took care of this reporting for you.
  • Improvement Activities = 20 out of 20 points
    You automatically scored 100% in this domain because you participate in an ACO.
  • Promoting Interoperability = 28.51 out of 30 points
    These “meaningful use” metrics were reported at the practice level. CMS then took all of our participating practice scores and created a weighted average score for this domain.
  • Cost = N/A
    Not scored because you participate in an ACO
  • Bonus Points = 3
    Awarded based on the number of “higher-risk” patients in our beneficiary attribution (determined by complexity coding)

Our perfect score yielded a lower positive adjustment than the 1.69% we received for our 2017 performance, and came in significantly lower than the potential 5% positive adjustment that CMS had in their program materials for 2018. This disparity is due to multiple factors, including MIPS being a “zero sum” game. Losers fund the winners, and there were fewer losers in 2018 than in 2017:

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Click here to view the full CMS report on aggregated preliminary 2018 MIPS results.