Reimbursement: Get Ready For 2024 With These Quality Updates

Why This Topic Matters

These updates affect how organizations prepare for reporting, benchmarking, and participation in Medicare quality programs for the 2024 performance year and beyond. Understanding the scope of the changes helps providers and ACOs plan compliance, workflow, and quality strategy.

Article Sections

1. Background on CMS quality program updates

   Introduces the 2024 Medicare rulemaking context and the broader policy direction for quality and cost programs. Summarizes the relationship between Medicare reimbursement updates and CMS quality initiatives.

2. Seven MSSP and QPP updates to know for CY 2024

   Presents the article’s main update summary across the Medicare Shared Savings Program and the Quality Payment Program. Highlights the broad areas of policy change discussed in the rule.

3. CEHRT alignment between MIPS and MSSP

   Covers the delayed alignment timeline for electronic health record-related reporting between Medicare programs. Explains that implementation and public reporting were pushed to a later year.

4. New collection type for ACOs in the APP

   Describes a new ACO quality collection approach under the Alternative Payment Model Performance Pathway. Focuses on the structure, timing, and measurement framework referenced by CMS.

5. MSSP benchmarking and methodology modifications

   Reviews revisions to MSSP benchmark and risk-adjustment methodology. Includes broader changes to benchmark calculations, assignment, and related program mechanics.

6. Quality, Improvement Activities, Promoting Interoperability, and Cost category changes

   Summarizes category-level updates within the Quality Payment Program. Covers measure-set changes, timing changes, and cost scoring updates for the relevant performance periods.

7. ICD-10-CM coding updates under Quality

   Discusses how CMS is adjusting its approach to ICD-10-CM usage in quality measurement. Focuses on changes to how coding impacts measure handling.

8. Universal Foundation alignment

   Explains CMS’s effort to align quality measurement across programs with a common foundation of measures. Addresses the broader policy goal of consistency across CMS initiatives.

9. MIPS Value Pathways continue to evolve

   Covers the continued development of specialty-focused participation pathways within the Quality Payment Program. Notes the expansion and modification of pathway options for the coming performance year.