News for Healthier Living

CMS MIPS Quality Measures are "Topped Out" when Over 90% of Eligible Physicians Have Never Reported their Performance

New research from the Harvey L. Neiman Health Policy Institute found that most Merit-Based Incentive Payment System (MIPS) quality measures designated as "topped out" by the Centers for Medicare & Medicaid Services (CMS) were reported by only a small fraction of eligible physicians, suggesting these measures may not reflect consistently high performance across clinicians. Topped out measures are capped at 7 points, which reduces the financial upside for reporting high quality. CMS designates measures as "topped out" with the rationale that meaningful improvement is no longer possible.

April 14, 2026


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