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The Future of MIPS Reporting: MIPS Value Pathways

02 Mar

The Future of MIPS Reporting: MIPS Value Pathways

The Future of MIPS Reporting: MIPS Value Pathways

In an effort to improve quality and decrease cost in American healthcare, CMS has introduced a new program to improve upon traditional MIPS. MIPS Value Pathways (MVPs) are a subset of the measures and activities from traditional MIPS which will help to streamline the program and reduce burden on providers and practices.MVPs are a push to build on a foundation of population health and increase connectivity between specialties, while keeping the patient at the center of quality and care. Though the MVP program does not launch until 2023, it is important to stay up to date with the changing regulations which will impact many practices.

Is the MVP Program Required?

No, the program is voluntary for performance years 2023-2027. It may become mandatory in 2028 at which time they may sunset the traditional MIPS program, but this is unconfirmed by CMS at this time.

Who can participate?

From 2023-2025, participants are defined as:

  • Individual clinicians
  • Single specialty groups
  • Multispecialty groups
  • Subgroups
  • APM entities

*Keep in mind that multispecialty groups will be required to report via subgroups beginning in 2026.*

When does MVP registration occur?

Participants must register between April 1st-November 30th of the performance year.

Once it is past November 30th, a participant cannot make any changes to the MVP they select or report on an MVP they did not register for.

What MVPs are available to choose from?

As of now, CMS has released 7 MVPs that participants can register for in performance year 2023:

  • Rheumatology (Advancing Rheumatology Patient Care)
  • Stroke Care and Prevention (Coordinating Stroke Care To Promote Prevention and Cultivate Positive Outcomes)
  • Heart Disease (Advancing Care for Heart Disease)
  • Chronic Disease Management (Optimizing Chronic Disease Management)
  • Emergency Medicine (adopting Best Practices and Promoting Patient Safety within Emergency Medicine)
  • Lower Extremity Joint Repair (Improving Care for Lower Extremity Joint Repair)
  • Anesthesia (Support of Positive Experiences with Anesthesia)

What are the reporting requirements?

Quality

  • Participants will need to select 4 quality measures, one of which must be an outcome measure (or high priority if there is not an applicable outcome).

Improvement Activities

  • Participants will need to select 2 medium weighted activities or 1 highly weighted activity or they need to participate in a certified/recognized patient-centered medical home (PCMH) or a comparable specialty practice.

Cost

  • CMS will be calculating this category score based on the measures included in the MVP.

Population Health Measures

  • Part of the foundational layer of MVPs along with Promoting Interoperability.
  • Participants will need to select 1 population health measure to be calculated.
  • This score will be added onto the quality score.

Promoting Interoperability

  • Part of the foundational layer of MVPs along with Population Health Measures.
  • Participants will be reporting the same measures as under traditional MIPS.

How are the MVPs scored?

They are scored similarly to traditional MIPS.

Reweighting policies will also align with traditional MIPS.