Get more value out of value-based care
Drive Medicare Quality Payment Program success with solutions for MIPS
2024 MIPS performance year highlights
Our certified MIPS advisors went the extra mile
Average customer satisfaction score for our MIPS Advisory Services1
Why MIPS performance matters
Under the Merit-Based Incentive Payment System (MIPS), your Medicare reimbursement amount is driven, in part, by your ability to show high-quality and low-cost care as compared to your peers.
ModMed® provides value-based care solutions for specialty practices. We’re proud to highlight our strong performance in the 2024 reporting year, including exceptional customer satisfaction scores1 for our MIPS Advisory programs2.
Think you’ve mastered MIPS?
A built-in MIPS solution
At ModMed, we have embraced the arrival of value-based care. As other practices and clinics struggle to meet the requirements, you can achieve your goals with our help.
Our EHR, EMA®, is an ASTP/ONC Certified Electronic Health Record technology3 designed to simplify your MIPS reporting through intuitive, built-in solutions that help you efficiently collect, track and qualify for various MIPS measures — all without disrupting your workflow.
- Built-in data collection: Capture MIPS data during patient exams, eliminating extra time and clicks
- Real-time performance tracking: Monitor your estimated MIPS Composite Score and progress across individual measures and categories
- Clinical data registries: These built-in registries can help you meet the Clinical Data Exchange measure
Why choose ModMed?
Value-based care isn’t going away, and we know firsthand how time-consuming it can be to keep track of all the factors involved in MIPS reporting. That’s why we stay on top of regulatory updates and program changes — to make the entire process easier for you. We offer a variety of tailored solutions designed to help you achieve your MIPS goals, including:
- Industry leadership in specialty-specific EMR content and usability
- Patient Collaboration tools, including patient kiosk, patient portal, patient reminders and patient surveys.
- Concierge coaching with our MIPS Advisory Services2
- Web and mobile solutions
- Connections with the ModMed Records Exchange network and the AIMS Platform, which could help you qualify for the HIE Bi-Directional Exchange and Electronic Case Reporting measures
MIPS and MACRA explained
When the Medicare Access and CHIP Reauthorization Act (MACRA) became law in 2015, it immediately shifted the thought process behind Medicare payments. CMS wants to encourage physicians to provide high-quality, low-cost care. If you fail to report MIPS data to CMS, you could receive a negative payment adjustment.
THE EXCEPTIONAL PERFORMANCE BONUS IS NO LONGER AVAILABLE
However, there is still the possibility for a positive payment adjustment depending on your final score.
MIPS puts your bottom line on the line
For the 2025 performance year, you can receive up to a 9% negative payment adjustment in 2027 (the payment year).
For example, if you bill $1.5 million per year in Medicare, your 2025 MIPS performance can make up to a $135,000 difference in your income in 2027.
Can you afford not to track your score?
As a provider of value-based care solutions for specialty practices, ModMed can provide you with tools for MIPS success.
What makes up MIPS?
MACRA established the Quality Payment Program (QPP), which consolidated prior quality reporting programs and added a new component to create MIPS, with factors in four weighted performance categories:
Data is key to helping you see where your practice stands in each performance category and where you may have room for improvement. Having an advanced EHR system like EMA to help automate your MIPS data collection and track your score may be crucial to the prosperity of your practice under value-based care.
We encourage you to visit CMS’ Quality Payment Program site to learn more about MIPS and MACRA.
The future of MIPS (MVPs)
MIPS Value Pathways (MVPs) are a new optional way to report MIPS, which started in 2023. The goal of this program is to further reduce the administrative burden of MIPS on physicians and their staff. Reporting for MVPs is still optional at this time, but CMS plans to eventually replace traditional MIPS entirely and only offer MVP reporting. If you plan to report to MVPs for the 2025 performance year, you’ll need to register directly with CMS.
Visit the CMS website for more information.
Frequently asked questions
Can I see my overall MIPS score before submitting my data to CMS?
Yes, EMA calculates your estimated MIPS Composite Score nightly, providing you with visibility into your anticipated MIPS performance, both overall and in each individual category. Get more information on tracking your MIPS performance through our GI EHR, gGastro®.
Where can I find more information on MIPS in EMA?
Get the latest updates on 2025 MIPS requirements here.
You can also visit ModMed Communities for other resources related to value-based care and EMA.
Does ModMed offer additional MIPS coaching resources?
Yes, we offer MIPS Advisory Services, an optional, concierge-style coaching program available for EMA and gGastro users.
What is our EHR certification number?
You’ll find our latest certification information here.
How can I submit MIPS data to CMS?
Our clients can submit their MIPS data directly to CMS through the Modernizing Medicine, Inc. Qualified Registry. Need to report additional measures? We will offer a data interface with several third-party academies and registries, such as Healthmonix, DataDerm, IRIS, Reg-ent, AQUA and Patient360, for a more streamlined data transfer experience.
Discover how our EMR solutions can help your practice meet its MIPS goals
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- 1 Customer Satisfaction Score for EMA and gGastro MIPS Advisory Services in the 2024 calendar year.
2 Available at an additional cost.
3 Information relating to our EHR certification, including certain mandatory disclosures, can be found here.