The Merit-based Incentive Payment System (MIPs) is a key component of Medicare’s push towards value-based care. It aims to reward healthcare providers for delivering high-quality, cost-effective care. It also encourages the adoption of healthcare information technology and focuses on improving patient outcomes.

However, the process of developing and reporting quality measures for MIPS adds significant overhead for healthcare providers. It requires careful analysis of organizational data to create accurate quality measures, which can be both complex and time-consuming — but this reporting is a critical factor that directly links quality performance to revenue within value-based care payment models.

As healthcare organizations focus on improving patient outcomes and managing costs, accurate reporting of quality measures becomes increasingly vital.

In this article, we’ll examine the challenges providers face when reporting MIPS quality measures and explore how Keywell’s solutions can help overcome these obstacles.

The Challenges of MIPS Reporting

The burden of MIPS compliance is significant. Research indicates that compliance costs an average of $12,800 per physician annually, with physicians dedicating approximately 53 hours per year to MIPS-related tasks. For some providers, this is equivalent to a full week of patient visits.

Developing and analyzing MIPS measures is particularly challenging for smaller provider groups with limited resources. The task requires meticulous attention to detail and a deep understanding of both the measures themselves and the underlying data. 

Even sophisticated EHR systems only show a limited amount of detail in the data, and providers have trouble determining:

• How different patient populations or segments impact measures
• The root causes of quality issues. Are the scores for providers with lower scores true indicators of quality, or are issues due to the patient population they serve?
• How to improve the training and quality protocols at provider clinics

How Keywell Streamlines and Automates Quality Measurement

Keywell has successfully implemented a solution that addresses many of the challenges associated with MIPS quality reporting. 

For one provider organization, we replaced standard EHR quality measure reports with automated, analytical, and customized dashboards. This approach has delivered several significant benefits:

• Our system automatically gathers and processes data, eliminating the need for time-consuming manual work. By automating key steps, we significantly reduced the time required for quality measure reporting. 
• The dashboards provide deeper insights and make it easier to identify the root causes of quality issues.
• Users can analyze data across various dimensions, including different time periods, individual providers, provider groups or divisions, and patient populations.
• Our system is also designed to accommodate yearly changes to reporting requirements with minimal disruption.
• Providers can create tailored reports for individual providers to facilitate more targeted quality improvement efforts. 

Our client previously conducted their MIPS analyses manually at the beginning of each reporting period, and it was highly time-consuming. The automated approach saved the providers significant time and resources.

The success of this project demonstrates the practical benefits of Keywell’s system in real-world healthcare settings. Our solution helps healthcare providers focus on what matters most: delivering high-quality patient care while optimizing their performance in value-based care models.

Navigate MIPS Complexity with Confidence

Keywell’s  approach to developing MIPS quality measures and analytics can help you drill down into measure performance to identify root cause and improvement opportunities.  

To learn more about how Keywell can help your provider group drive your value-based care strategy, contact our team today.