MIPS to go MVP status in 2021, become simpler, more APM-friendly, rule says

Why This Topic Matters

The proposal could affect how clinicians report quality and related performance categories under the Quality Payment Program starting in 2021. Understanding the framework helps organizations assess potential workflow changes, reporting burden, and alignment with alternative payment models.

Article Sections

1. MIPS Value Pathways proposal

   Introduces CMS’s planned framework for reorganizing MIPS and the general goals of the proposal. It places the change in the context of the broader Quality Payment Program and the 2020 proposed rule.

2. How MVP would be structured

   Summarizes the general design elements CMS says the framework would use, including specialty alignment, measure grouping, and related categories of participation. It also notes the intended relationship to value-based care and alternative payment models.

3. Illustrative example and measure categories

   Describes an example CMS uses to show how the framework might operate for a specific clinical area. It also references the broad performance categories discussed in the proposal.

4. Early reactions

   Covers initial responses from industry stakeholders, including concerns, questions for comment, and issues raised about implementation and transition. The section reflects reactions from quality reporting professionals and specialty practice representatives.