decisionhealth Newsletters, Part B News - 2024 Issue 6 (June)
QPP reports show MIPS fading as groups pivot to APM models
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Article Overview
This article summarizes CMS Quality Payment Program reporting for 2022 and explains how participation trends are changing across MIPS and Advanced APM models. It is useful for clinicians, practice administrators, and coding/compliance professionals who follow Medicare quality reporting, payment adjustment trends, and program evolution. The article also discusses broader policy movement toward accountable care and changes affecting reporting pathways and quality measurement.
Why This Topic Matters
The piece highlights CMS-reported participation and performance trends that can affect Medicare payment adjustments, reporting burden, and long-term strategy for practices moving between traditional MIPS participation and APM-based models.
Article Sections
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CMS QPP reports for performance year 2022
Overview of the annual CMS reports referenced in the article and the reporting year they cover. This section frames the main participation and performance trends discussed in the rest of the piece.
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Participation trends across MIPS and Advanced APMs
Summary of how participation changed between the two QPP pathways and how CMS reported clinician counts and payment adjustment patterns. The section also notes differences seen among group sizes and reporting categories.
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Hard years for MIPS
Discussion of broader policy and market forces affecting the relative attractiveness of the two pathways. The section includes commentary on practice burden, accountable care trends, and reporting model changes.
What You Will Learn
- How CMS reported 2022 QPP participation trends
- How MIPS and Advanced APM participation changed over time
- What broad factors may be influencing reporting pathway choices
- How program changes are affecting quality reporting strategy
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Practice administrators
- Compliance professionals
- Physician groups participating in Medicare quality programs
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