athenahealth today announced that physicians and other clinicians using AI-native athenaOne® continue to outperform national results in the Merit-based Incentive Payment System (MIPS). For performance year 2024, more than 95% of eligible clinicians earned positive Medicare payment adjustments, compared with less than 86% nationally. These clinicians also earned an average MIPS payment adjustment of +0.49%, nearly double the national average of +0.25%. These results highlight athenahealth’s role in helping practices navigate quality reporting requirements and thrive in value-based care arrangements.

The MIPS program was established to shift Medicare physician payment from volume-based care to value-based care, rewarding clinicians for high-quality, efficient, and patient-centered care while reducing administrative burdens.

Performance of athenaOne practices was higher than national results across every reporting method:

  • MIPS Value Pathways (MVPs): 98.1% of eligible athenaOne clinicians earned positive payment adjustments, compared with 87.7% nationally.

  • Traditional MIPS: 94.77% earned positive payment adjustments, compared with 91.4% nationally.

  • Alternative Payment Model Performance Pathway (APP): 100% earned positive payment adjustments, compared with 96.6% nationally.

The strong MVP performance is especially important as Medicare quality reporting evolves under the Medicare Access and CHIP Reauthorization Act (MACRA). CMS has proposed ending traditional MIPS after the 2028 performance year, making MVPs increasingly important for practices preparing for the future of quality reporting. athenaOne clinicians are already 10.4 percentage points ahead of the national MVP rate.

athenahealth simplifies quality reporting and submission, helping practices reduce administrative burden and dedicate more time to patient care. For performance year 2025 alone, athenahealth completed more than 19,000 MIPS and Medicare Shared Savings Program ACO submissions on behalf of practices, saving an estimated 58,000 hours of administrative work.

“The best MIPS support should do two things: help practices perform better and make quality reporting easier,” said Chris Kondrat, chief customer officer at athenahealth. “By combining the power of our network, intelligent technology, and deep MIPS expertise, we’re helping practices improve quality performance, simplify reporting, and spend more time focused on their patients.”

Making MIPS easier for practices

With more than a decade of experience and 12 consecutive years as a Qualified Registry, athenahealth helps practices understand evolving program requirements, identify opportunities to improve performance, and simplify the reporting process. From providing expert guidance to submitting quality data directly to CMS, athenahealth reduces the administrative burden on practices so clinicians can spend more time focused on patient care. In 2025, customers who used athenahealth’s free Quality Coaching service achieved MIPS scores that were 8% higher on average than those who did not.

Supporting strong clinical quality performance

athenahealth’s connected network helps clinicians access timely patient information and actionable insights within their everyday workflows, supporting better care coordination and quality performance. In 2025, clinicians using athenaOne outperformed national averages across key electronic clinical quality measures (eCQMs) and clinical quality measures (CQMs), demonstrating the value of connected technology in supporting high-quality care.

athenaOne supports 100% of the eCQM and CQM measures available for MIPS reporting across specialties including primary care, women’s health, behavioral health, cardiology, and orthopedics. Results across individual specialties highlight the strength of this performance. For example:

  • primary care customers achieved a 99.36% osteoporosis screening rate, compared with just 54.79% nationally;

  • women’s health customers achieved an 85.14% cervical cancer screening rate, more than double the national rate of 40.26%; and

  • behavioral health clinicians achieved an initiation and engagement of substance use disorder treatment rate of 17.89%, compared with 7.20% nationally.

Together, the results demonstrate athenahealth’s comprehensive approach to MIPS, combining a connected network, actionable quality insights, automated reporting, and dedicated support to help practices navigate evolving program requirements and achieve stronger performance.

Source: National MIPS performance results are based on the Centers for Medicare & Medicaid Services’ (CMS) 2024 Quality Payment Program Experience Report. Eligible athenaOne clinicians are defined as those who used athenaOne to support measurement across all available MIPS performance categories for the 2024 reporting year and were determined eligible for MIPS through the CMS eligibility API.

Clinical quality measure results are based on athenahealth data from January through December 2025, with national comparisons drawn from CMS quality benchmarks published through the Quality Payment Program.

About athenahealth

Since 1997, athenahealth has been curing complexity for ambulatory healthcare practices and the patients they serve, empowering them to deliver the best possible care and business outcomes through innovative clinical, financial and patient engagement solutions. athenahealth connects practices, health systems, payers, partners and patients to create a thriving ecosystem that delivers accessible, high-quality and sustainable healthcare for all. Learn more at athenahealth.com.

Media gallery

About The Author
Business Wire