• MIPS 2020—Quality Scoring: Some Benchmarks Are “Flat”

    This content is excerpted from EyeNet’s MIPS 2020; also see the Academy’s MIPS hub page.

    New for 2020: CMS introduced “flat” benchmarks. CMS has applied flat benchmarks to two measures:

    What is a flat benchmark? Most benchmarks are based on historic performance rates. By contrast, flat benchmarks are based on a simple formula.

    For measure 1, a performance rate of 10% or less earns you 10 achievement points; a performance rate of 10.01%- 20% earns you 9 achievement points, etc. (Measure 1 is an inverse measure, meaning that a lower performance rate represents a superior performance.)

    For measure 236, a performance rate of at least 90% earns you 10 achievement points; a performance rate of 80%- 89.9% earns you 9 achievement points, etc.

    Why did CMS introduce flat benchmarks? CMS was con­cerned that using the standard performance-based bench­marks for measures 1 and 236 may have motivated clinicians to reduce blood sugar or blood pressure to levels that might be too low for patients with certain medical conditions.

    Previous: Quality Scoring: Some Benchmarks Are Subject to Scoring Limitations

    Next: Quality Scoring: Bonuses for High-Priority Measures and CEHRT

    DISCLAIMER AND LIMITATION OF LIABILITY: Meeting regulatory requirements is a complicated process involving continually changing rules and the application of judgment to factual situations. The Academy does not guarantee or warrant that regulators and public or private payers will agree with the Academy’s information or recommendations. The Academy shall not be liable to you or any other party to any extent whatsoever for errors in, or omissions from, any such information provided by the Academy, its employees, agents, or representatives.

    COPYRIGHT© 2020, American Academy of Ophthalmology, Inc.® All rights reserved. No part of this publication may be reproduced without written permission from the publisher. American Academy of Ophthalmic Executives® and IRIS® Registry, among other marks, are trademarks of the American Academy of Ophthalmology®.

    All of the American Academy of Ophthalmology (AAO)–developed quality measures are copyrighted by the AAO’s H. Dunbar Hoskins Jr., MD, Center for Quality Eye Care (see terms of use).