MIPS score
projected74
7474 of 100 projected
At 75+$14,200bonus
Below 60-$9,800penalty
Quality measures
against the national benchmarkControlling high blood press…
CMS165Diabetes: HbA1c poor control
CMS122Breast cancer screening
CMS125Colorectal cancer screening
CMS130Black line is the national benchmark for each measure
Care gaps you can close
340 patients
| Gap | Patients | Coming in already | Effort | Score impact | Revenue |
|---|---|---|---|---|---|
| Mammogram overdueCMS125 | 86 | 12 booked this month | One phone call | +4 pts | $9,460 |
| HbA1c not drawn in 12 moCMS122 | 74 | 31 have visits booked | Add to existing visit | +5 pts | $3,220 |
| Depression screen missingCMS2 | 122 | 122, all of them | 2 questions at check-in | +6 pts | $0 |
| Colonoscopy overdueCMS130 | 41 | 7 booked | Referral needed | +2 pts | $0 |
The depression screen is 122 patients and costs nothing.
Two questions added to mobile check-in closes the whole measure and moves the MIPS score 6 points on its own, which is the bonus.Value-based contracts
Medicare Shared SavingsOn track
1,204 lives$22k projected
UHC Quality IncentiveAt risk
386 lives$8k at stake
ACO REACH IncentiveAt risk
123 lives$14k projected
$34,000 of next year's revenue depends on measures, not on visits. That is the part of US healthcare a scheduling tool cannot see.
Closed this quarter
218 gaps closed
218 of 558 identified · 39%
At a scheduled visit164
After a text reminder43
At a phone outreach11
Three quarters close during a visit the patient was already having. The gap is not outreach, it is the doctor seeing it on screen at the right moment.