During that same meeting with leadership, the physicians have questions about why MIPS is structured the way it is. They are also frustrated by the changes that are occurring. You must respond to their questions and provide the knowledge they need to understand the process. Buy-in from the physicians is extremely important to ensuring the quality improvement changes you want to make are successful.

Questions ( 5pts each)

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 facilitys 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?