decisionhealth Newsletters, Part B News - 2022 Issue 11 (November)
QPP changes arrive, as later reporting, payment hassles loom
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Article Overview
This article reviews annual updates to CMS’s Quality Payment Program and Merit-based Incentive Payment System for 2023, with attention to category weighting, measure changes, Promoting Interoperability updates, and the shift toward MIPS Value Pathways. It also discusses longer-term policy and payment issues affecting Advanced APM participants and the broader MACRA landscape. The piece is aimed at clinicians, practice leaders, and billing/coding professionals who follow Medicare quality reporting and value-based payment policy.
Why This Topic Matters
These changes affect how clinicians and groups participate in Medicare quality reporting programs, how performance is measured, and how future payment incentives may change. The article is useful for organizations planning reporting strategy under MIPS, MVPs, and Advanced APM arrangements.
Article Sections
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Overview of 2023 QPP and MIPS updates
Summarizes the major annual changes CMS finalized for the Quality Payment Program and MIPS. Covers overall category weighting, thresholds, and the general direction of program updates for the reporting year.
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A deeper look at the measures
Discusses changes within the Quality, Cost, Improvement Activities, and Promoting Interoperability categories. Also notes measure additions, removals, and other category-specific updates.
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Bonuses remain uncertain
Addresses policy and payment issues affecting Advanced APM participants and future bonus timing. Includes discussion of MACRA-related concerns and congressional activity.
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MVPs on the way
Describes the status of MIPS Value Pathways and how they fit into the broader reporting framework. Covers the expansion of pathway options and the move toward more specialized reporting structures.
What You Will Learn
- How CMS updated the 2023 Quality Payment Program and MIPS framework
- Which broad MIPS categories were revised for the reporting year
- What kinds of measure and category changes were finalized
- How Promoting Interoperability requirements and options were adjusted
- Why Advanced APM payment policy remains a concern for future years
- How MIPS Value Pathways are evolving as an alternative reporting approach
Who Should Read This
- Physicians and other eligible clinicians
- Practice administrators
- Quality reporting teams
- Revenue cycle and reimbursement professionals
- Health system policy leaders
- Value-based care organizations
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