decisionhealth Newsletters, Part B News - 2021 Issue 7 (July)
Big lift before MVP transition, with fewer quality measures, higher threshold
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Article Overview
This article covers proposed Medicare physician fee schedule changes affecting the Quality Payment Program, including MIPS scoring updates, category reweighting, quality measure changes, cost measure expansion, and the planned rollout of MIPS Value Pathways. It is relevant to clinicians, practice administrators, and coding/billing professionals who track performance program requirements, measure selection, and upcoming reporting changes. The discussion also touches on participating clinician types, supportive reporting structures, and special pathways within QPP/MIPS.
Why This Topic Matters
These proposed changes affect how practices prepare for MIPS reporting, measure selection, and performance scoring in the near term while also signaling the broader shift to MVP. Understanding the scope of the changes helps organizations anticipate operational and reporting impacts under Medicare’s quality payment programs.
Article Sections
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Quality Payment Program
Introduces the proposed Medicare payment rule changes and frames the broader QPP/MIPS context for the article.
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MIPS gets harder
Discusses proposed changes to the current MIPS structure for 2022, including overall scoring pressure, completeness requirements, and performance-related adjustments.
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A higher ‘cost’
Summarizes proposed changes to MIPS category weighting and the expanded role of cost-related measurement under the current program.
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Quality no snap
Covers proposed quality measure updates, measure removals, and the shifting landscape for earning points in the quality category.
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The MVP transition
Outlines the planned move toward MIPS Value Pathways, including timing, structure, and categories expected for the initial rollout.
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Other QPP/MIPS features
Notes additional proposed updates affecting eligible clinician types, small practices, and participation options within QPP.
What You Will Learn
- How the proposed 2022 MIPS changes affect performance expectations
- What is changing in MIPS category weighting and measurement structure
- How the planned MVP rollout is being positioned within QPP
- Which clinician groups and participation pathways are affected by the proposal
- What broader reporting and alignment requirements are being discussed for future MVP participation
Who Should Read This
- Physicians and other eligible clinicians
- Practice administrators
- Medical billing and coding professionals
- Quality reporting staff
- Revenue cycle and compliance teams
Codes Discussed
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