MIPS Value Pathways AKA MVPs
The MIPS MVP 2023 reporting option offers providers an alternative to the traditional MIPS program. It is designed to simplify and streamline the process of participating in MIPS, while still providing incentives and advantages for those who choose to participate.
The MIPS MVP 2023 requires fewer quality measures than the traditional program, and encourages virtual care. While the requirements of the program remain well aligned to the traditional efforts you are familiar with today, it allows some practices to better align Quality measure collection with the care needs of their specific patient population.
What Is It?
MIPS Value Pathways (MVPs) are a subset of measures and activities, established through rulemaking, that can be used to meet MIPS reporting requirements beginning in the 2023 performance year.
The MVP framework aims to align and connect measures and activities across the quality, cost, and improvement activities performance categories of MIPS for different specialties or conditions. In addition, the MVP framework incorporates a foundation that leverages Promoting Interoperability measures and a set of administrative claims-based quality measures that focus on population health in order to reduce reporting burden.
CMS recognizes this is a significant shift in the way clinicians may potentially participate in MIPS, and we are committed to a smooth transition to MVPs that doesn’t immediately eliminate the traditional MIPS framework. Clinicians still have the option to participate through traditional MIPS for now.
How Does It Work?
The MIPS MVP 2023 program is designed to reduce the burden of reporting on providers. It consists of two main components: Quality and Cost performance categories. The Quality category measures patient outcomes, while the Cost category looks at how well you manage resources.
In order to be successful in the MIPS MVP 2023 program, providers must meet the reporting requirements and adhere to program guidelines.
Current MVPS
Advancing Cancer Care
Optimal Care for Kidney Health
Optimal Care for Patients with Episodic Neurological Conditions
Supportive Care for Neurodegenerative Conditions
Promoting Wellness
Patient Safety and Support of Positive Experiences with Anesthesia
Optimizing Chronic Disease Management
Adopting Best Practices and Promoting Patient Safety with Emergency Medicine
Advancing Care for Heart Disease
Improving Care for Lower Extremity Joint Repair
Advancing Rheumatology Patient Care
Coordinating Stroke Care to Promote Prevention and Cultivate Positive Outcomes
MVP Reporting Requirements
Quality
To complete the MVP reporting requirements for the quality performance category, you must:
Select and report 4 quality measures from an MVP, including 1 outcome measure. If no outcome measure is available, you may report a high priority measure.
The 4 required quality measures don’t include the required population health measures evaluated as part of the foundational layer.
If available in an MVP, you may choose to include an outcome measure calculated by CMS through administrative claims.
Foundational Layer
The foundational layer is composed of the Promoting Interoperability performance category and population health measures calculated through administrative claims. These measures and activities apply to all MVPs regardless of clinical specialty or medical condition.
To complete the reporting requirements for Promoting Interoperability, you must:
Submit the same Promoting Interoperability measures and attestations that are required under traditional MIPS. The list of Promoting Interoperability measures are included for each MVP in the Appendices.
Improvement Activities
Report 2 medium-weighted improvement activities from the MVP, OR
Report 1 high-weighted improvement activity from the MVP, OR
Report the IA_PCMH (participation in a certified or recognized patient-centered medical home or comparable specialty practice) activity.
Cost
CMS will use Medicare claims data to calculate your cost measure performance, which means you don’t have to submit any data for this performance category, just as in traditional MIPS. Each MVP includes cost measures that are relevant and applicable to the MVP clinical specialty or medical condition. CMS calculates performance exclusively on the cost measures that are included in the selected MVP using administrative claims data, even if additional cost measures (outside your selected MVP) are available for scoring.
Why is MVP Reporting a Good Option?
Traditional MIPS is likely to sunset by 2027. When this occurs, providers will no longer be able to participate in the traditional MIPS program. Participating in MIPS MVP 2023 provides an opportunity for providers to begin transitioning away from the traditional MIPS program and align with the new and optional MVP reporting requirements that are being implemented by CMS.
In addition, participating in MIPS MVP 2023 can provide an opportunity for providers to potentially receive higher performance-based payments. As always, providers should review the program requirements and determine if MIPS MVP 2023 is the best option for their practice.
Providers who want to participate in MIPS MVP 2023 should examine the current list of available MVPS and select a pathway that best fits their line of service, specialty, and patient population.
More Information
Chirpy Bird can help you with the evolving MVP requirements and ease the burden to your staff while maximizing your MIPS incentive potential. We’d love to chat with you about how we can help. Reach out to us today!
We also recommend visiting the CMS website for more information on MIPS Value Pathways and MIPS MVP 2023.
https://qpp.cms.gov/mips/value-pathways/mvp2023
To get started with affordable monthly service give us a call today at 888-647-7247.
