For QPP 2020, fairer MIPS cost scoring emerges amid array of smaller changes

Why This Topic Matters

These proposals can affect performance scores, reporting workflows, and program participation for Medicare clinicians and groups. Understanding the scope of the changes helps stakeholders evaluate operational impact and prepare for reporting updates.

Article Sections

1. Cost shakeup

   Overview of proposed changes to the MIPS cost category and the general areas of cost measurement being revised.

2. New episode-based measures

   Discussion of additions to episode-based cost measurement and the broader role of episode attribution in MIPS cost scoring.

3. Revisions to Improvement Activities

   Summary of proposed updates to the Improvement Activities category, including additions, removals, and group reporting changes.

4. Tweaks to Promoting Interoperability

   Coverage of proposed changes to the Promoting Interoperability category, including measure status updates and exclusions.

5. 4 new Quality measures, 55 removed

   Overview of proposed quality measure additions, removals, specialty set changes, and related survey discussion.

6. APMs and Advanced APMs

   Explanation of proposed scoring and participation changes for MIPS APMs, advanced APMs, and related model updates.

7. Trouble for QCDRs

   Discussion of proposed changes to QCDR measure standards and the potential effects on registry-based reporting.