decisionhealth Newsletters, Part B News - 2023 Issue 11 (November)
MIPS bonus threshold sticks at 75, as lower APM bonuses signal hurdles to come
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Article Overview
This article covers the 2024 Medicare physician fee schedule changes tied to the Quality Payment Program, including updates to the MIPS performance threshold, Advanced APM bonus structure, MIPS Value Pathways, and related reporting requirements. It is useful for clinicians, practice administrators, and coding/compliance professionals who track Medicare value-based payment policy and need to understand how the final rule may affect participation, reporting, and incentives in the coming payment years.
Why This Topic Matters
These final-rule changes affect how clinicians earn incentives, face penalties, and choose between reporting options under Medicare’s value-based payment programs. The article also highlights upcoming policy pressure points that may influence planning for APMs, MIPS participation, and reporting workflows.
Article Sections
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Quality Payment Program
Overview of the 2024 final-rule changes affecting the Quality Payment Program and the broader Medicare physician payment environment.
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APMs take cut, but how much?
Discussion of changes affecting Advanced APM participation and the transition between bonus-based and fee schedule-based payment updates.
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Individual QPs: Not yet
Coverage of the clinician-level qualification question within Advanced APMs and the decision to keep qualification at the entity level.
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MVPs on the move
Summary of MIPS Value Pathways developments, including reporting structure, pathway availability, and related reporting components.
What You Will Learn
- How the 2024 Quality Payment Program final rule affects MIPS and Advanced APM participation
- What the article says about reporting pathways under MIPS Value Pathways
- Which parts of the final rule were finalized, delayed, or left uncertain
- How policy changes may influence clinician and practice planning for future payment years
Who Should Read This
- Physicians and eligible clinicians
- Practice administrators
- Coding and compliance professionals
- Revenue cycle teams
- Value-based care leaders
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