One of my favorite books is The Big Short by Michael Lewis. It was eventually made into a movie by the same name and gives a clear view of the housing bubble that burst 10 years ago and pushed the US economy into the Great Recession. What fascinates me was the ability of some to predict, and profit, from knowing when the collapse would occur. They were able to delve into the details of millions of mortgages and see when the adjustable rates would suddenly increase leading to escalating mortgage payments and boosting the default rates dramatically. The subsequent collapse was unavoidable, and predictable.

What does this have to do with MIPS, or more specifically, an eligible clinician’s MIPS score? The common theme is the fact that the Day of Reckoning is not only inevitable, but also relatively easy to predict when it will occur. I recently wrote a post The Real MIPS Timeline: 3 Stages of MACRA and MIPS that includes my thoughts on what will happen on the day when the MIPS scores are made public.

Here is the what, where, why, and when of the MIPS Day of Reckoning:

What: Public Reporting of MIPS scores based on 2017 performance.
Where: Probably on the Physician Compare website.
Why: Public reporting of MIPS scores mandated by Quality Payment Program final rule.
When: 2017 data targeted for public reporting in late 2018…

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