This dataset contains performance rates for the 6 Individual eligible professional (EP) 2017 Physician Quality Reporting System (PQRS) measures reported via claims that are available for public reporting. The Centers for Medicare & Medicaid Services (CMS) is committed to ongoing data transparency and creating a patient-centered healthcare system, where clinicians are challenged to lower costs and increase the quality of care CMS provides. CMS wants to empower patients to make more informed healthcare decisions by providing meaningful information about their healthcare providers.
The number of Qualifying Alternative Payment Model (APM) Participants in Advanced APMs—nearly doubled in 2018 from the previous year, increasing from 99,076 to 183,306 clinicians QPs receive a five percent APM incentive payment and are excluded from the Merit-Based Incentive Payment System (MIPS) reporting requirements and payment adjustment. The number of clinicians participating in MIPS through APMs also increased from 341,220 participants in 2017 to 356,828 in 2018. These participation improvements may be related to the increasing number of participation opportunities in 2018, particularly through Accountable Care Organizations (ACOs) in the Shared Savings Program.