MIPS 2020 Proposal

CMS recently proposed changes to MIPS for 2020. What does this mean for you as a MacPractice Office and what changes should you expect?

The Centers for Medicare and Medicaid Services (CMS) has released its proposed rule for the Quality Payment Program (QPP), with several proposed changes to MIPS in 2020 and future reporting years. A final rule will be released later this Fall after a public comment period. The proposed rule would continue to gradually increase the reporting requirements under the MIPS program.

Main Points to takeaway: 

CMS has proposed to increase the performance threshold. (The number of MIPS points needed to avoid penalties.)

  • 2019 - 30 points
  • 2020 - 45 points
  • 2021 - 60 points

With the penalty increasing from -7% in 2019 to -9% in 2020.

Category Weights Proposed:

Quality Cost Promoting Interoperability Improvement Activities
  • 40% in 2020
  • 35% in 2021
  • 30% in 2022
  • 20% in 2020
  • 25% in 2021
  • 30% in 2022
Remains at 25%  Remains at 15%


MIPS Value Pathways 

They have also proposed a new framework for 2021 called MIPS Value Pathways (MVP) CMS created some illustrative diagrams regarding the MIPS Value Pathways:

MIPS Value Pathways Diagram

MIPS Value Pathways Diabetes Example

MIPS Value Pathways Surgery Example

Moving Forward:

What does this all mean for your office? More reporting and planning will be necessary to avoid any penalties.

Keep in mind that these are all just proposals for now and a final rule should be in place by Fall 2019.

More information can be found here.

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