Part B Reimbursement: Feds Push Back MIPS Value Pathways to 2022

Why This Topic Matters

The proposed changes affect how clinicians and groups participate in Medicare quality reporting and alternative payment initiatives. Readers who manage QPP participation need to understand what is being delayed, what is changing in reporting options, and how CMS is reshaping program structure for future performance years.

Article Sections

1. Consider These 5 Takeaways

   Overview of the main proposed changes affecting the Quality Payment Program, including timing, scoring, reporting structure, and intermediary participation.

2. 1. MVP delays

   Discussion of the delayed rollout of MIPS Value Pathways and the related update to guiding principles for the program.

3. 2. Thresholds and category weights

   Summary of proposed performance-category weighting changes and the performance threshold for the applicable performance year.

4. 3. Web interface removal

   Explanation of the proposed end of the CMS Web Interface and the broader shift in quality reporting options for groups and virtual groups.

5. 4. New APP

   Coverage of proposed changes tied to the APM Performance Pathway and aligned reporting requirements for accountable care arrangements.

6. 5. Third-party updates

   Discussion of proposed updates affecting third-party intermediaries involved in quality reporting and pathway support.