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The healthcare industry is constantly evolving, with regulations and standards frequently being updated to improve the quality of care and efficiency of services. One such significant development is the Merit-based Incentive Payment System (MIPS). This article delves deep into what MIPS is, how it functions, and its profound impact on medical professionals. What is MIPS in Healthcare? MIPS is a critical component of the Quality Payment Program (QPP) established by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). It aims to streamline multiple quality programs into a single system where healthcare providers are incentivized based on their performance. MIPS evaluates eligible clinicians on four performance: Quality: This category replaces the Physician Quality Reporting System (PQRS). Clinicians are measured on various performance metrics that assess the quality of care provided to patients.
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