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Prepare for MIPS Success with the New Online Stratis Health MIPS Estimator

Published Tuesday, September 26, 2017

The online Stratis Health MIPS Estimator is now available to help clinicians prepare for and succeed in the Centers for Medicare & Medicaid (CMS) Quality Payment Program (QPP). Clinicians can use this tool, at no cost, to determine which measures and data submission methods should give them the highest Merit-based Incentive Payment System (MIPS) final score. The higher their score, the better positioned clinicians are to receive the highest possible positive Medicare payment adjustment in 2019 under MIPS, and ultimately to continue to improve the quality and value of care delivered.

CMS allows clinicians to choose how they want to participate in the QPP program based on practice size, specialty, location, or patient population. The program's flexibility can make it confusing to understand. The MIPS quality category alone has 284 measures and five reporting method options—claims, electronic health record (EHR), Qualified Registry, Qualified Clinical Data Registry, and CMS Web Interface. Stratis Health's Estimator aims to remove clinician uncertainty about how to participate in MIPS. The tool calculates and compares the scores for reporting as individual clinicians or as a group. It also compares scores across today's three MIPS categories—Advancing Care Information (ACI), Improvement Activities, and Quality—using the reporting methods applicable to the practice, and applies relevant bonus points to help practices understand their MIPS performance.

Clinicians who are capturing Quality and ACI data can use the MIPS Estimator to help determine their best options for reporting, choose which quality measures to report, and aim for improving their MIPS scores before the end of the year. Health care providers should use their Estimator results to make workflow changes to improve patient outcomes and track progress over time.

The online Estimator has been extensively field tested. Over 200 individuals, from solo practice clinicians to health system quality managers, accessed the pre-release version of the MIPS Estimator.

"The MIPS Estimator is very user friendly. It was easy to walk through each step," said Laura Fosse, optometric technician, Cambridge Eye Associates. "The scoring break down is easy to understand and is displayed in an organized way so you can see areas for improvement."

"This tool has been extremely helpful—exactly the type of information we were looking for," said Kayla Rosati, population health coordinator, Raiter Clinic in Cloquet. The online Estimator helped her clinic learn more about MIPS scoring and reporting requirements. "We were unaware that we had to participate in a security risk analysis to score in the ACI category. I'm glad the Estimator laid everything out for us."

Eligible clinician types (physicians, physician assistants, nurse practitioners, clinical nurse specialists, certified registered nurse anesthetists) participate in the Quality Payment Program in 2017 if they are in an Advanced Alternative Payment Model (APM) or if they bill Medicare more than $30,000 in Part B allowed charges a year and provide care for more than 100 Medicare patients a year.

"Stratis Health is committed to helping clinicians succeed in the Quality Payment Program," said Jennifer Lundblad, PhD, MBA, president and CEO, Stratis Health. "We built the MIPS Estimator to advance value-based care and to prepare clinicians for the future, where payments are aligned with providing better care."

"Most importantly, we want to improve quality of care for people on Medicare."

Go to Stratis Health MIPS Estimator


For assistance with QPP or the Stratis Health MIPS Estimator, email the QPP Help Desk.