CMS proposal: Clinicians can mix reporting methods to get to six measures

Why This Topic Matters

The proposal affects how clinicians may satisfy quality reporting requirements under MIPS and signals upcoming changes to the measures and specialty sets used for performance scoring. It is relevant for practices that need to track reporting options, measure availability, and annual program updates.

Article Sections

1. Quality reporting

   An overview of the proposed shift in how clinicians may use different reporting methods within MIPS quality reporting. This section introduces the broader context for the year-over-year changes discussed in the article.

2. Flexibility could increase responsibility

   Discussion of the proposal’s flexibility in combining reporting methods and the related expectations for meeting quality reporting requirements. This section also addresses how CMS views reporting choices for different clinician groups.

3. Validation remains for claims, registry

   A summary of validation-related considerations for certain reporting methods under the proposed approach. This section explains which reporting pathways are still expected to be subject to validation review.

4. Changes on deck for measures, sets

   A broad look at proposed updates to quality measures and specialty measure sets. This section covers additions, deletions, revisions, and other structural changes to the measure inventory.

5. Diagnosis-based measures addressed

   Coverage of proposed handling for measures tied closely to diagnosis coding updates. This section explains the CMS review of measures affected by annual ICD-10-CM changes.

6. Phase out of topped-out measures begins

   Discussion of CMS’s proposed approach for identifying and gradually reducing credit for topped-out measures. This section includes the broader transition plan for measures that no longer distinguish performance well.