Over 95% of eligible athenaOne clinicians received positive MIPS payment adjustments, compared with under 86% nationally.
BOSTON, Nov. 10, 2026 — athenahealth announced that physicians and other clinicians using its AI-native athenaOne platform continue to achieve better-than-national results under the Merit-based Incentive Payment System (MIPS).
For the 2024 performance year, more than 95% of eligible athenaOne clinicians received positive Medicare payment adjustments, compared with less than 86% nationwide. Their average payment adjustment was also higher at +0.49%, nearly twice the national average of +0.25%.
These results demonstrate how athenahealth helps healthcare practices manage quality reporting requirements and succeed in value-based care programs.
MIPS was introduced to transition Medicare physician payments from volume-based to value-based care. The program rewards clinicians for delivering high-quality, efficient, and patient-centered care while aiming to reduce administrative workloads.
athenaOne practices consistently outperformed national benchmarks across all three MIPS reporting pathways:
- MIPS Value Pathways (MVPs): 98.1% of eligible athenaOne clinicians achieved positive Medicare payment adjustments, compared with 87.7% nationally.
- Traditional MIPS: 94.77% received positive payment adjustments, exceeding the national average of 91.4%.
- Alternative Payment Model Performance Pathway (APP): 100% achieved positive payment adjustments, compared with 96.6% nationally.
The outstanding performance under MVPs is particularly significant as Medicare quality reporting continues to evolve under the Medicare Access and CHIP Reauthorization Act (MACRA). With CMS proposing to phase out traditional MIPS after the 2028 performance year, MVPs are expected to play an increasingly important role in the future of quality reporting. athenaOne clinicians are already outperforming the national MVP benchmark by 10.4 percentage points.
athenahealth helps simplify quality reporting and submission processes, reducing administrative workloads and allowing healthcare providers to focus more on patient care. During the 2025 performance year, the company completed more than 19,000 MIPS and Medicare Shared Savings Program (MSSP) ACO submissions on behalf of its practices, saving an estimated 58,000 hours of administrative work.
“The best MIPS support should deliver two key outcomes: improved practice performance and simpler quality reporting,” said Chris Kondrat, chief customer officer at athenahealth. “By bringing together the strength of our network, intelligent technology, and extensive MIPS expertise, we help practices enhance quality outcomes, streamline reporting processes, and spend more time caring for their patients.”
Simplifying MIPS Reporting for Healthcare Practices
With over a decade of industry experience and 12 consecutive years of recognition as a Qualified Registry, athenahealth helps healthcare practices navigate changing program requirements, identify performance improvement opportunities, and streamline quality reporting. Through expert guidance and direct submission of quality data to CMS, the company helps minimize administrative workloads, allowing clinicians to dedicate more time to patient care.
The impact of this support is reflected in customer results. In 2025, practices that participated in athenahealth’s complimentary Quality Coaching service achieved MIPS scores that were, on average, 8% higher than those of practices that did not use the service.
Driving Better Clinical Quality Outcomes
athenahealth’s integrated network enables clinicians to access relevant patient information and actionable insights directly within their daily workflows. This connected approach strengthens care coordination, supports informed clinical decisions, and contributes to improved quality performance.
In 2025, athenaOne clinicians surpassed national benchmarks across several key electronic Clinical Quality Measures (eCQMs) and Clinical Quality Measures (CQMs), highlighting the role of connected healthcare technology in delivering high-quality care.
The athenaOne platform supports all available MIPS-reportable eCQM and CQM measures across multiple specialties, including primary care, women’s health, behavioral health, cardiology, and orthopedics.
Performance across individual specialties further demonstrates these results:
- Primary Care: Customers achieved a 99.36% osteoporosis screening rate, significantly exceeding the national benchmark of 54.79%.
- Women’s Health: Customers recorded an 85.14% cervical cancer screening rate, more than twice the national average of 40.26%.
- Behavioral Health: Clinicians achieved a 17.89% rate for initiation and engagement of substance use disorder treatment, compared with the national benchmark of 7.20%.
These results highlight athenahealth’s comprehensive MIPS support strategy, bringing together connected healthcare technology, actionable quality insights, automated reporting, and specialized coaching. This integrated approach helps practices manage evolving regulatory requirements, improve clinical quality outcomes, and deliver more patient-focused care.
Source: National MIPS performance benchmarks are derived from the Centers for Medicare & Medicaid Services (CMS) 2024 Quality Payment Program Experience Report. Eligible athenaOne clinicians refer to those who used the athenaOne platform to support measurement across all available MIPS performance categories during the 2024 reporting year and were confirmed as MIPS-eligible through the CMS Eligibility API.
Clinical quality measure data are based on athenahealth’s internal records covering January through December 2025. National comparison figures are sourced from CMS quality benchmarks published through the Quality Payment Program.
About athenahealth
Founded in 1997, athenahealth is dedicated to simplifying the complexities of ambulatory healthcare, helping medical practices and the patients they serve achieve better clinical and business outcomes. Through innovative solutions spanning clinical care, financial management, and patient engagement, the company empowers healthcare providers to deliver high-quality, efficient care.
By connecting medical practices, health systems, payers, partners, and patients through an integrated healthcare ecosystem, athenahealth works to make healthcare more accessible, sustainable, and effective for everyone.
For more information, visit athenahealth.com.
Contact:
Nikki D’Addario
media@athenahealth.com
