What to Fix Now Versus What to Leave Alone

Mid-year MIPS performance reviews often trigger a frantic scramble to fix every underperforming metric, but this activity can be a trap. The most successful organizations understand that strategic leverage, not busywork, is the key to improving scores. By mid-year, some performance issues are mathematically difficult to move, while others, like documentation and care gap management, remain highly actionable. The smartest strategy is to identify which problems still matter and focus resources there, rather than chasing marginal gains that create an expensive distraction.