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. 2025 Sep 2;8(9):e2532838.
doi: 10.1001/jamanetworkopen.2025.32838.

Seven Years of Participation Churn in the Medicare Quality Payment Program

Meng-Yun Lin  1 , Kathleen Carey  2 , Risha Gidwani  3   4 , Amresh D Hanchate  1
Affiliations

Seven Years of Participation Churn in the Medicare Quality Payment Program

Meng-Yun Lin et al. JAMA Netw Open. .
No abstract available

Plain language summary

This cohort study examines participation patterns in the Medicare Quality Payment Program to evaluate understudied obstacles to the Centers for Medicare & Medicaid Services goal of transitioning to value-based payment by 2030.

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Conflict of interest statement

Conflict of Interest Disclosures: None reported.

Figures

Figure.
Figure.. Trends in Merit-Based Incentive Payment System (MIPS) Participation and Transitions Under the Quality Payment Program, 2017 to 2023
The stacked area chart illustrates participation trends of Medicare practitioners in the MIPS track from 2017 to 2023. Practitioners are categorized by their MIPS participation and reporting mode: non-MIPS participant, MIPS individual, MIPS group, or MIPS Alternative Payment Model (APM). The solid line shows the percentage of practitioners entering the MIPS track, while the dashed line shows those exiting in subsequent years. aMIPS group includes group participants, virtual group participants (n = 453 in 7 years), and subgroup participants (n = 92 in 2023).
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References

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    1. Centers for Medicare & Medicaid Services . Medicare physician & other practitioners - by provider. Accessed March 6, 2024. https://data.cms.gov/provider-summary-by-type-of-service/medicare-physic...
    1. Centers for Medicare & Medicard Services . Quality payment program experience. Accessed March 16, 2024. https://data.cms.gov/quality-of-care/quality-payment-program-experience