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

Why This Topic Matters

These proposals can affect how clinicians and groups report performance, what quality reporting options remain available, when new pathways are introduced, and how advanced payment model participation is structured. Organizations that support Medicare quality reporting need to understand the timing and operational implications of the proposed changes.

Article Sections

1. Consider These 5 Takeaways

   An overview of the major themes in the proposed Medicare quality payment changes and how the pandemic affected the schedule for planned updates.

2. MVP delays

   A discussion of the timing shift for MIPS Value Pathways and related program direction under the proposed rule.

3. Thresholds and category weights

   A summary of proposed adjustments to performance category weighting and the performance threshold for the reporting year.

4. Web interface removal

   Coverage of proposed changes to a CMS quality reporting mechanism and the implications for group-level reporting options.

5. New APP

   An overview of proposed updates tied to the APM Performance Pathway and related alignment with other Medicare program requirements.

6. Third-party updates

   A review of proposed expectations for intermediaries that support quality reporting, including registries, QCDRs, and health IT vendors.