MIPS Scoring and Payment Adjustments
MIPS 2019 Performance Year
Final Score
An eligible clinician’s (EC’s) performance in each of the four Merit-based Incentive Payment System (MIPS) components makes up the EC’s MIPS final score, determining the EC’s payment adjustment. Payment adjustments can be positive, negative, or neutral. A single MIPS final score will factor in performance in the four categories on a 0 to 100 point scale. Each MIPS component is weighted differently in calculating the MIPS final score.
MIPS Component |
Scoring Weight (for 2019 performance year) |
| Quality | 45 percent |
| Promoting Interoperability (formerly ACI) | 25 percent |
| Improvement Activities | 15 percent |
| Cost | 15 percent |
Payment Adjustments
Payment adjustments are applied based on an EC’s performance two year prior to the calendar year. Therefore, an EC who is a MIPS participant in 2019 will receive a payment adjustment in 2021 based on 2019 data. For 2019 MIPS participants, a maximum of a 7 percent is possible in calendar year 2021.
Calendar Year |
Maximum Possible +/- Payment Adjustment |
| 2019 | 4 percent (based on 2017 performance) |
| 2020 | 5 percent (based on 2018 performance) |
| 2021 | 7 percent (based on 2019 performance) |
| 2022 and onward | 9 percent (based on 2020 performance) |