5. The quality category of MIPS decreased the past several years from 60% down to 45%. The cost category rose from 0% to 15%.

• • What are the implications of this for organizations in general?
  • Do you think an organization's quality will be affected by the decrease in weighting? Why?
  • *Remember this is the percentage of the score they are graded on, not the facility's actual score. So they are being graded with less of an emphasis on quality and more of an emphasis on cost*

6. If providers are hospital based, are they completely exempt from MIPS? Why?

7. A provider in your organization is upset about the changes to the reimbursement programs. They are upset CMS has imposed an all-new quality payment program that changes everything they were doing previously. They feel this is too much new information to learn.

• • Do you agree? Why?