QPP 2019 Proposed Rule Promoting Interoperability

Why This Topic Matters

Promoting Interoperability affects MIPS scoring, reporting workflows, health IT configuration, and patient access initiatives. Understanding the proposed changes helps organizations assess readiness, anticipate operational burden, and evaluate potential effects on performance under the program.

Article Sections

1. A higher performance threshold

   Discusses the proposed MIPS performance threshold and exceptional performance threshold, along with the broader payment adjustment context. It frames how the rule could affect clinician scoring and incentives.

2. A smaller set of PI measures

   Summarizes the proposed reduction and restructuring of Promoting Interoperability measures, including categories being removed, retained with changes, or added. It also notes the article’s focus on interoperability, patient access, and public health-related reporting.

3. From optional to required

   Explains the proposed shift away from clinician choice in measure selection and toward required reporting elements. The section also addresses the limited flexibility left within the category.

4. Harder to score

   Describes the proposed change to PI scoring methodology and the expected effect on overall category points. It uses an example to illustrate how the revised structure could alter outcomes.