AMGA Disappointed CMS Maintains High MIPS Exclusion Threshold
Missed Opportunity to Move Medicare Provider Payments to Value

Alexandria, VA – AMGA today voiced concern that the Centers for Medicare & Medicaid Services (CMS) is not taking steps to move Medicare provider payments to value. In its proposed rule for the third year of the Quality Payment Program, CMS again is proposing policies that do not further the program’s intent and potential. Based on initial review of the proposal, AMGA is particularly disappointed that CMS kept a high low-volume threshold that will continue to reduce the payment adjustments for providers that are invested in value-based care.

“AMGA members will continue to work to provide superior quality care to their patients,” said  Jerry Penso, M.D., M.B.A., AMGA president and CEO. “We are concerned that CMS has again opted not to recognize the efforts of high-performing AMGA members. As we enter the program’s third year, it is time for CMS to honor congressional intent and use MIPS to create value for Medicare.”

As authorized by the Medicare Access and CHIP Reauthorization Act (MACRA), providers have the opportunity to earn an adjustment of up to 7% on their Medicare Part B payments in 2021 based on their 2019 performance. However, as indicated in today’s proposal, CMS estimates the overall payment adjustment will be 2%.

AMGA will closely review the proposed rule and will provide detailed comments.


About AMGA
AMGA is a trade association leading the transformation of health care in America. Representing multispecialty medical groups and integrated systems of care, we advocate, educate, innovate, and empower our members to deliver the next level of high performance health. AMGA is the national voice promoting awareness of our members’ recognized excellence in the delivery of coordinated, high quality, high-value care. More than 175,000 physicians practice in our member organizations, delivering care to one in three Americans.


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