MIPS Reporting & Strategy for 2026
On $2M of Medicare revenue, a low MIPS score costs $180,000 a year.
The maximum penalty is 9%. A perfect score still only earns a small budget-neutral bonus. We run MIPS like the financial exercise it is: every measure selection priced before you commit it, scored exactly as CMS will score it.
The Problem
The score doesn't measure how good you are. It measures how well you played the rules.
A perfect 100% on a topped-out measure earns 7 of 10 points. Half of all clinicians sit below the national median cost score, most without knowing why. And the benchmarks reset every January, so last year's winning measure mix can quietly lose points this year.
Most registries transmit whatever you hand them. If the data is incomplete, they transmit a low score, and nobody warns you before it happens.
What We Built
A registry that runs your numbers the way CMS will, all year long.
It selects the six measures that score highest for your patient mix, watches all four categories as one number, prices every open gap in dollars, and submits directly to CMS when the year closes. Here is what the score is worth.
Figures for $2M in annual Medicare revenue. Bonuses are budget-neutral by statute; in the 2026 payment year a perfect score earned +1.05%, the smallest in program history.
The Record
What You See
Know where you stand, model the change, submit with a defense.
Know where you stand
All four categories in one composite, scored as CMS will score it and updated as your measure data changes, rather than in a feedback report that arrives six months late.
Model before you commit
Swap a measure, close a gap, and see the point and dollar impact first. The six measures you pick in January decide most of your December.
Submit with a defense
Direct submission through our CMS-approved registry, with patient-level evidence behind every number. If CMS asks questions, we answer them.
Bring us last year's QPP feedback report.
We'll show you the points you left on the table, and what they were worth.
Send us your feedback reportThe 2026 rules, and what comes after them
2026 MIPS Reporting Guide
Who must report, all four category requirements, and every deadline through March 31, 2027.
Read the 2026 guide →MIPS Cost Category
30% of your score, calculated by CMS entirely from claims data you never submit.
Learn about Cost →MIPS Value Pathways
The specialty-specific framework that replaces traditional MIPS, with the transition dates already set.
Learn about MVPs →Ambulatory Specialty Model
Mandatory in 2027 for six specialties, scored on the same cost methodology MIPS uses today.
Learn about ASM →