USF Health attained a 100% score on its most recent Merit-based Incentive Payment System (MIPS) assessment, a measurement required by the Centers for Medicare and Medicaid Services (CMS) to track how well hospitals and medical groups perform on key areas that benefit patients.
“MIPS is about setting standards of care for all of our patients and, by earning a 100%, we are clearly demonstrating that we are meeting national benchmarks on how we care for patients,” said Terri Ashmeade, MD, professor and chief quality officer for USF Health.
“This perfect score validates that we are not a high-cost organization and puts USF Health among the very top of USA practices in value.”
The 100% score puts USF Health in the Exceptional Performance category, a significant accomplishment given USF Health’s highly specialized group practice and complexity of its patient population compared to the average practice, she said.
MIPS (Merit-Based Incentive Payment System) is part of the Quality Payment Program authorized under 2015 MACRA legislation that introduced a new Medicare value-based reimbursement system. MIPS is one of the ways the Quality Payment Program aims to reward value and outcomes (rather than just volume of care), tying payments to quality and cost-effective care. Performance is measured through four key areas: quality, improvement activities, promoting interoperability, and cost.
Ensuring that our patients have a smooth transition of care from the hospital back into our outpatient practice and are avoiding readmission is an example of the continuity of care that MIPS is measuring, Dr. Ashmeade said.
For a deeper dive into MIPS, visit https://qpp.cms.gov/mips/overview
At USF Health, the journey to achieve this outstanding MIPS score speaks volumes to how we are, collectively, advancing toward our primary goal of offering advanced, compassionate care to patients, said Mark Moseley, MD, chief medical officer for USF Health.
“This outstanding MIPS score shows that our constant drive to make life better for our patients and their families dovetails nicely with efforts to maximize value by achieving the highest possible quality outcomes for the lowest cost,” Dr. Moseley said. “Our social contract with our community is to provide that value, and the improvements in processes, data analytics, and care coordination brought about by our MIPS efforts help us do just that for those we are privileged to serve.”