MIPS Versus APMs: A Comparative Analysis of CMS Quality Payment Programs


  • Shannon Morgan OSU MHA student


The central questions of this research are, of the mandated CMS Quality Payment Programs (QPP), how do MIPS and the available APMs compare in terms of:

  1. administrative simplicity,
  2. risk assumption,
  3. and financial incentive?

Based on this information, is MIPS or one of the Alternative Payment Models (APMs) such as Comprehensive Primary Care Plus (CPC+) or the soon available Primary Care First (PCF) and Directly Contracting (DC) models a preferable option to healthcare providers?  The purpose of this study is a quantitative comparative analysis of MIPS as the independent variable and the APMs as the dependent variables based on available program definitions and performance data to determine the most suitable compliance option for rural healthcare providers in terms of administrative simplicity, risk assumption, and financial incentive.






Healthcare Administration