MIPS to go MVP status in 2021, become simpler, more APM-friendly, rule says

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains CMS’s proposed redesign of the Quality Payment Program’s MIPS track into MIPS Value Pathways (MVPs) beginning in 2021. It focuses on the intended move toward specialty- or condition-based measure sets, changes affecting reporting burden, links to alternative payment models, and early reactions from clinicians, specialty groups, and quality reporting experts. The piece is useful for practices, specialty societies, and coding or quality reporting professionals who follow federal physician payment policy and MIPS-related program changes.

Why This Topic Matters

The proposal could change how clinicians participate in MIPS, how quality and related performance categories are organized, and how practices prepare for future reporting under the Quality Payment Program.

Article Sections

  1. Quality Payment Program

    Introduces CMS’s proposed redesign of the Quality Payment Program and the shift toward a new MIPS framework. Summarizes the general aims of the proposal and its expected impact on clinician participation.

  2. Early reactions

    Reviews initial responses from stakeholders, consultants, and quality reporting experts. Highlights concerns, questions for the comment period, and discussion of how the proposal may affect practices and specialties.

What You Will Learn

  • How CMS is proposing to restructure MIPS within the Quality Payment Program
  • What broad features are being emphasized in the new pathway-based approach
  • Which kinds of stakeholders are responding to the proposal and why
  • What general implementation and transition issues the article raises

Who Should Read This

  • Physicians and clinician groups participating in the Quality Payment Program
  • Practice managers and compliance staff
  • Quality reporting professionals
  • Specialty societies and APM-focused organizations
  • Medical coding and reimbursement analysts

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