Payment & Delivery Models

Disease prevention & succeeding in MIPS: prediabetes

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These measures and resources are for all practice types and sizes. Based on your practice size, different scoring may apply.

MIPS performance categories and scoring:

  • Quality: 50% of composite score—replaces Physician Quality Reporting System (PQRS) program
  • Cost: 10% of composite score—replaces value-based modifier (VBM) program
  • Advancing Care Information (ACI): 25% of composite score—replaces Meaningful Use (MU) program
  • Improvement activities (new component): 15% of composite score

Please visit the AMA's Understanding Medicare's Merit-Based Incentive Payment System page for more information about the MIPS program, scoring strategies and bonus point opportunities.

This resource (PDF) can help improve the health of your patients with prediabetes while checking all your MIPS boxes along the way. 

The AMA also offers personalized consulting, technical assistance and support at no cost to your practice to implement a diabetes prevention initiative. For more information, see the AMA’s Diabetes Prevention Guide or email the Improving Health Outcomes initiative at [email protected]

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