Reimbursement: Get the Scoop on QPP 2021 Proposals

Why This Topic Matters

The proposed changes affect how participating clinicians and groups may report, be scored, and prepare for future payment years. Understanding the scope of the proposal helps organizations anticipate operational impacts and comment on the rulemaking process.

Article Sections

1. Consider These 5 Takeaways

   A high-level summary of the main proposed policy changes and implementation timing for the 2021 Quality Payment Program.

2. MVP delays

   Discussion of the timing shift for the MIPS Value Pathways initiative and related program refinement themes.

3. Thresholds and category weights

   Overview of proposed adjustments to performance category weighting and the performance threshold for the upcoming performance year.

4. Web interface removal

   Coverage of the proposed elimination of a CMS reporting mechanism and the broader reporting transition for groups and virtual groups.

5. New APP

   Summary of proposed changes tied to APM-related reporting alignment and the APM Performance Pathway framework.

6. Third-party updates

   Explanation of proposed updates affecting intermediaries that support data submission, testing, and measure collection functions.

7. Stakeholder input

   Information about the public comment period and deadline for feedback on the proposed rule.