2020 QPP Trends Revealed

Centers for Medicare and Medicaid Services (CMS) has released and updated the 2020 Quality Payment Program (QPP) Experience Report which identifies trends associated with the clinician experience in both the MIPS and APM tracks.

In this blog, we’ll review what trends and changes were seen in the fourth year of the QPP.

What Did the 2020 QPP Experience Report Find?

The overwhelming driver of change in the clinician experience in the QPP is, unsurprisingly, the COVID-19 pandemic:

Engagement Trends

Engagement statistics reflect the percentage of eligible clinicians who report data to CMS.

  • After steadily increasing rates of engagement from 2017-2019, the 2020 engagement rate decreased 7% in 2020 to 90%.
  • CMS asserts that this decline in engagement is due to the EUC policies disincentivizing the report of data to ensure a score equal to the performance threshold.

Performance and Payment Adjustment Trends

  • CMS is still seeing QP growth year-over-year. This is a trend to watch as the lump-sum bonus expires and a “gap year” of incentives for APMs takes place. Will there be enough long-term benefit incentive for providers to continue to join APMs?
  • Significant gains were seen in the 2020 performance year, particularly for rural clinicians. CMS continues to monitor the trends of scoring for small and rural practices, as their scores consistently trail below other types of practices.

Next Steps

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