Thursday, March 25, 2021

Additional Resources Now Available in 2021 Quality Benchmarks Zip File; Doctors and Clinicians Preview Period Ends Today, March 25, 2021

Centers for Medicare & Medicaid Services
Quality Payment Program

Additional Resources Now Available in 2021 Quality Benchmarks Zip File

When you submit measures for the Merit-based Incentive Payment System (MIPS) quality performance category, each measure is assessed against its benchmark to determine how many points the measure earns.

Benchmarks are specific to the collection type:

  • Qualified Clinical Data Registry (QCDR) measures
  • MIPS Clinical Quality Measures (CQMs)
  • Electronic clinical quality measures (eCQMs)
  • CMS Web Interface measures
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey
  • Part B Claims measures

In order to measure performance that's comparable across the spectrum of performance, benchmarks are established using historical data. Historical benchmarks are based on actual performance data.

The 2021 MIPS Quality Benchmarks (ZIP) lists and explains the 2021 benchmarks used to assess performance in the quality performance category of MIPS. This file is available on the QPP Resource Library.

March Updates to 2021 MIPS Quality Benchmarks Zip File

Recently, CMS made the following changes to the documents in the 2021 MIPS Quality Benchmarks (ZIP):

  • Added the 2021 CAHPS for MIPS Historical Benchmarks for Scoring the CAHPS for MIPS Survey for Performance Year 2021 file
  • Added the 2021 MIPS Quality Benchmarks Fact Sheet
  • Added the 2021 Multiple Performance Rate Measures
  • Updated and removed measures and historical benchmarks within the 2021 MIPS Historical Quality Benchmarks file and added a Scoring Examples worksheet

Additional details about the March updates are available in the 2021 Quality Benchmarks Zip File Version History document within the 2021 MIPS Quality Benchmarks (ZIP).

Additional Information

For more information, please see the QPP Resource Library. You can contact the Quality Payment Program at 1-866-288-8292 (TRS: 711), Monday through Friday, 8 a.m. - 8 p.m. ET or by e-mail at: QPP@cms.hhs.gov.


Doctors and Clinicians Preview Period Ends Today, March 25, 2021

The Doctors and Clinicians Preview Period ends today, March 25, 2021 at 8 p.m. ET (5 p.m. PT). If you haven't previewed your information already, don't miss your chance to preview your 2019 Quality Payment Program (QPP) performance information before it is publicly reported on clinician and group profile pages on Medicare Care Compare and in the Provider Data Catalog (PDC).

You can access the secured Preview through the QPP website.  

Please refer to the resources below on how to preview your information:

To learn more about the 2019 QPP performance information that is available for preview as well as the 2018 clinician utilization data that will be added to the PDC, download these documents from the Care Compare: Doctors and Clinicians Initiative page:

Accountable Care Organizations (ACOs) can preview their performance information via their 2019 MIPS Performance Feedback Reports. A list of ACO performance information targeted for public reporting is available on the Care Compare: Doctors and Clinicians Initiative page.

If you have any questions about public reporting for doctors and clinicians or the Preview Period, please contact us at QPP@cms.hhs.gov.


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