MIPS completes the Quality Payment Program’s revisions

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The Centers for Medicare & Medicaid Services (MIPS) has finalised many significant improvements to the Quality Payment Program in recognition that physician practises are concentrating on providing quality treatment during the COVID-19 public health emergency (QPP).


MIPS Value Pathways: Merit-based Incentive Payment System (MVPs)

CMS has chosen to postpone the adoption of MVPs into the programme after earlier finalising Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) for integration into the programme during the 2021 performance period. Instead, CMS is making changes to the MVP framework’s guiding principles and development standards to encourage stakeholder cooperation with the organisation as it develops and suggests MVPs. The AASM has been collaborating with CMS and other medical specialty societies to find chances to offer suggestions on the MVP creation procedure and MVPs that would be pertinent to sleep medicine.

The patient voice, subgroup reporting, and promotion of digital performance measure data input were all finalised by CMS as part of the MVPs guiding principles. Last but not least, CMS also completed a list of standards to be taken into account when developing MVP candidates, beginning with the 2022 performance period.


Performance Pathways for APM (APPs).

Other notable programme adjustments made by CMS include the completion of the APM Performance Pathway (APP), which is in line with the MVP paradigm. Beginning in 2021 is the new APP reporting framework. Only participants in MIPS APMs have access to the APP, which can be reported by an eligible physician alone, a team, or an APM Entity.

The APP will feature a set of quality metrics that includes:


  • CMS will use administrative claims data to compute

the Consumer Assessment of Healthcare Providers.

  • Systems (CAHPS) for MIPS Survey Measure 2 measures.
  • 3 quality measures that can be reported as MIPS CQMs, Medicare Part B claims measures, or electronic clinical quality measures (eCQMs)

Participants in accountable care organisations (ACOs) have the option to submit the 10 CMS Web Interface measures in place of the 3 eCQMs/MIPS CQMs in the APP, but only for the 2021 performance period.


Performance Cutoff.

Regarding the performance threshold, AASM had already remarked on the CMS suggestions. The Quality Payment Program Final Rule for the calendar year 2020 set the performance criterion at 60 points, which CMS has now officially maintained for the 2021 performance period.


The quality, cost, i efforts, and encouraging interoperability areas of the Quality Payment Program have undergone a number of further adjustments. Examine these new modifications in the Quality Payment Program Resource Library’s resources for the 2021 Final Rule.


The Quality Payment Program can be reached by eligible Clinicians via phone at 1-866-288-8292, Monday through Friday, 8 a.m. to 8 p.m. Eastern Time, or b

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