Modification of MIPS payment adjustments

(a) In general Section 1848(q)(6)(B) of the Social Security Act (42 U.S.C. 1395w–4(q)(6)(B)) is amended— (1) in clause (iii), by striking and at the end; (2) in clause (iv), by amending such clause to read as follows: (iv) for 2022 and subsequent years (through 2026), 9 percent;; and (3) by adding at the end the following new clauses: (v) for 2027 through 2031, 2 percent; (vi) for 2032, 3 percent; (vii) for 2033, 4 percent; and (viii) for 2034, 5 percent.. (b) No reduction in case of failure To provide feedback (1) In general Section 1848(q)(6) of the Social Security Act (42 U.S.C. 1395w–4(q)(6)) is amended by adding at the end the following new subparagraph: (G) No reduction in payments in case of failure to provide feedback Notwithstanding the preceding provisions of this paragraph, in the case that the Secretary fails to provide a MIPS eligible professional feedback required under paragraph (12) with respect to the performance of such professional for a performance period with respect to a year for administrative claims-based measures included in the performance categories described in subparagraph (A)(i)(II) of such paragraph, if application of subparagraph (E) would result in a negative adjustment to payment for covered professional services furnished by such professional during such year, the product otherwise determined under such subparagraph for such professional and year shall be deemed to be zero.. (2) Modification of feedback requirements Section 1848(q)(12) of the Social Security Act (42 U.S.C. 1395w–4(q)(12)) is amended— (A) in subparagraph (A)(i)(II), by inserting (and, beginning with 2032, shall, on a quarterly basis and with respect to administrative claims-based measures in accordance with clause (vi)) after may; and (B) by adding at the end the following new clause: (vi) Feedback on administrative-claims based measures With respect to quarters beginning on or after January 1, 2032, the Secretary shall, not later than 60 days after each such quarter, provide to each MIPS eligible professional, with respect to administrative claims-based measures included in the performance categories described in subparagraph (A)(i)(II), feedback on such professional’s performance, including— (I) a description of the patients and episodes attributed with respect to such measures for purposes of assessing the performance of such professional during such quarter; (II) an identification of the items and services furnished by such professional or another individual that will contribute to the assessment of the performance of such professional during such quarter with respect to such measures; and (III) an identification of whether each item or service identified under subitem (BB) for the quarter was furnished by such professional or another individual (and, in the case that the performance of such professional for such quarter with respect to such measures is assessed based on participation in a group practice or other group, whether each such item or service was furnished by such professional, another individual in such group, or another individual outside of such group).. (c) Extension of additional incentive payments for certain professionals Section 1848(q)(6) of the Social Security Act (42 U.S.C. 1395w–4(q)(6)) is amended— (1) in subparagraph (C)— (A) by inserting and for 2032 and each subsequent year after 2024,; and (B) by inserting (other than, with respect to 2032 and each subsequent year, such a professional that is part of an excluded practice (as defined in section 1866H(f))) after MIPS eligible professional; and (2) in subparagraph (F)(iv)(I), by inserting and for 2032 and each subsequent year before the period. (d) Reduction in positive adjustments for certain professionals Section 1848(q)(6) of the Social Security Act (42 U.S.C. 1395w–4(q)(6)), as amended by paragraph (1), is further amended by adding at the end the following new subparagraph: (H) Reduction in positive adjustments for certain professionals The Secretary shall reduce each positive MIPS adjustment factor otherwise determined under this paragraph for a year (beginning with 2032) for a MIPS eligible professional who is part of an excluded practice (as defined in section 1866H(f)) by 50 percent. The preceding sentence shall be applied in a budget neutral manner..