Importance The Merit-Based Incentive Payment System (MIPS) for Medicare is the largest
pay-for-performance program in the history of health care. Although the Centers for
Medicare & Medicaid Services (CMS) launched the MIPS in 2017, the participation and
performance of otolaryngologists in this program remain unclear. Objective To characterize
otolaryngologist participation and performance in the MIPS in 2017. Design, Setting, and
Participants Retrospective cross-sectional analysis of otolaryngologist participation and …

In 2017, the Centers for Medicare and Medicaid Services transitioned clinicians to the Merit-
Based Incentive Payment System (MIPS), the largest mandatory pay-for-performance
program in health care history. The first full MIPS program year was 2018, during which the
Centers for Medicare and Medicaid Services raised participation requirements and
performance thresholds. Using publicly available Medicare data, we conducted a
retrospective cross-sectional analysis of otolaryngologist participation and performance in …