biostudies-literatureGettel CJNational Center for Advancing Translational SciencesNCATS NIH HHSAgency for Healthcare Research and QualityFoundation for Barnes-Jewish HospitalAHRQ HHSNational Heart, Lung, and Blood InstituteNHLBI NIH HHS64-72https://www.ebi.ac.uk/biostudies/studies/S-EPMC8766873biostudies-literatureUnknown29(1)<h4>Background</h4>The Merit-based Incentive Payment System (MIPS) is the largest national pay-for-performance program and the first to afford emergency clinicians unique financial incentives for quality measurement and improvement. With little known regarding its impact on emergency clinicians, we sought to describe participation in the MIPS and examine differences in performance scores and payment adjustments based on reporting affiliation and reporting strategy.<h4>Methods</h4>We performed a cross-sectional analysis using the Centers for Medicare & Medicaid Services 2018 Quality Payment Program (QPP) Experience Report data set. We categorized emergency clinicians by their reporting affiliation (individual, group, MIPS alternative payment model [APM]), MIPS performance scores, and MedicaAcademic emergency medicine : official journal of the Society for Academic Emergency MedicineEmergency clinician participation and performance in the Centers for Medicare & Medicaid Services Merit-based Incentive Payment System.PMC8766873#3676KL2 TR000140K12 HL137942R01 HS027811‐01R01 HS027811TL1 TR001864TL1 TR00864UL1 TR001863Granovsky MAGriffey RTBerdahl CTGettel CJKocher KESchuur JDHan CRVenkatesh AKAldeen AZMehrotra AfalseEmergency clinician participation and performance in the Centers for Medicare & Medicaid Services Merit-based Incentive Payment System.<h4>Background</h4>The Merit-based Incentive Payment System (MIPS) is the largest national pay-for-performance program and the first to afford emergency clinicians unique financial incentives for quality measurement and improvement. With little known regarding its impact on emergency clinicians, we sought to describe participation in the MIPS and examine differences in performance scores and payment adjustments based on reporting affiliation and reporting strategy.<h4>Methods</h4>We performed a cross-sectional analysis using the Centers for Medicare & Medicaid Services 2018 Quality Payment Program (QPP) Experience Report data set. We categorized emergency clinicians by their reporting affiliation (individual, group, MIPS alternative payment model [APM]), MIPS performance scores, and Medica2022-01-01T00:00:00Z2022 Jan2025-04-21T15:50:01.906Z2025-04-21T15:50:01.906ZS-EPMC87668733437547910.1111/acem.14373