Medicare Physician Data-driven Performance Payment System Act of 2026
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Summary
This bill transforms Medicare's Merit-based Incentive Payment System (MIPS) into the Data-driven Performance Payment System (DPPS) effective January 1, 2027. It restructures physician payment adjustments, establishing new adjustment factors (ranging from 0.5 to 1.25) based on composite performance scores starting in 2028, with a performance threshold capped at 75 points through 2033. The bill also requires quarterly feedback to physicians on their performance metrics within 60 days of each quarter's end, and includes provisions to protect beneficiaries from increased cost-sharing when conversion factor updates are negative.
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