QPP: Slight MIPS, APM updates for 2020 signal a calm before the storm

Why This Topic Matters

These updates affect how clinicians and groups are measured, reported, and potentially rewarded or penalized under Medicare’s value-based payment programs. The article also explains why the 2020 rule is important as a lead-in to a larger shift in the MIPS structure expected in 2021.

Article Sections

1. MIPS updates for 2020

   Overview of 2020 changes to MIPS scoring, participation requirements, and category weighting under the Quality Payment Program.

2. Advanced APM and MIPS APM

   Discussion of changes affecting Advanced APM participation and the separate reporting considerations for APM entities at the group level.

3. Pathways ‘framework’: On track for 2021

   Summary of CMS’s early planning for the next version of MIPS, including the new framework intended for future rulemaking.