decisionhealth Newsletters, Part B News - 2020 Issue 8 (August)
QPP updates in 2021: Changes to measures, easier performance threshold, no MVP
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Article Overview
This article explains proposed 2021 updates to the CMS Quality Payment Program, with emphasis on how the changes affect MIPS participants, MIPS APMs, Advanced APM participation, and quality reporting workflows. It covers shifts in performance thresholds, measure set revisions, telehealth-related reporting updates, interoperability changes, and the new reporting approach for certain APM participants. The discussion is useful for clinicians, practice managers, ACOs, and coding/billing professionals who track annual QPP policy changes.
Why This Topic Matters
QPP policy changes can affect reporting burden, performance scoring, incentive eligibility, and operational planning for practices and ACOs. Understanding the scope of the 2021 updates helps organizations prepare for measure changes, reporting method transitions, and evolving CMS expectations.
Article Sections
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Quality Payment Program
Introduces the overall QPP context and explains that the article reflects updated CMS information for the 2021 performance period.
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Nuts and bolts
Summarizes proposed changes affecting MIPS category weighting, performance thresholds, and score-related payment adjustments. Also notes broader timing changes tied to future performance periods.
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Fewer measures
Covers revisions to quality reporting, including benchmark methodology, measure additions and removals, telehealth-related updates, and other measure specification changes.
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Non-quality measures
Describes updates outside the quality category, including cost, improvement activities, and promoting interoperability changes as well as new exchange-related reporting options.
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APP Happy?
Explains the new reporting pathway for certain APM participants and how it changes quality reporting under MIPS APM arrangements.
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Bye, Web Interface
Discusses the end of one reporting method and the operational impact on organizations that previously relied on it.
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Advanced APM changes
Summarizes proposed updates related to participant status determinations and incentive payment handling within Advanced APMs.
What You Will Learn
- How CMS is changing QPP participation and reporting for 2021
- Which broad areas of MIPS are affected by proposed updates
- How telehealth and interoperability are being incorporated into reporting
- What changes are proposed for certain APM reporting pathways
- Why the 2021 updates matter for practices, ACOs, and reporting teams
Who Should Read This
- Physicians and eligible clinicians
- Practice managers
- ACO administrators
- Quality reporting staff
- Medical billing and coding professionals
- Population health and compliance teams
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