2023 Physician Fee Schedule Proposed Rule Includes Draft Policy Changes for Quality Payment Program

CMS Proposes Policy Changes for Quality Payment Program The Centers for Medicare & Medicaid Services (CMS) has issued its proposed policies for the Quality Payment Program (QPP) via the Medicare Physician Fee Schedule (PFS) Proposed Rule for the 2023 performance year and beyond. These include proposals related to the Merit-based Incentive Payment System (MIPS), Advanced Alternative Payment Models (APMs), and public reporting of QPP data on Care Compare, as well as several requests for information (RFIs). We're focusing our proposals on continuing to develop new MIPS Value Pathways (MVPs) and refining the subgroup participation option. We're proposing limited changes to traditional MIPS to provide clinicians continuity and consistency while they gain familiarity with MVPs. 2023 Policy Highlights The following are some of the key QPP policies that have been proposed in the 2023 PFS Proposed Rule: MVPs Introducing 5 new MVPs and revising 7 previously established MVPs for reporting, beginning with the 2023 performance year. Calculating administrative claims measures at the affiliated group Taxpayer Identification Number (TIN) level (of the affiliate group) when reporting as a subgroup. Traditional MIPS Continuing to use the mean final score from the 2017 performance year/2019 payment year to establish the performance threshold for the 2023 performance year/2025 payment year (the performance threshold would be 75 points). Increasing the data completeness threshold to 75% for the 2024 and 2025 performance years. Updating MIPS quality measures and the improvement activities inventory by: Expanding the definition of "high priority measure" to include health equity-related quality measures. Reducing the inventory of quality measures from 200 to 194 through the removal of 15 and the addition of 9 MIPS quality measures (a net decrease of 6 quality measures). Standardizing language related to equity. Adding 4 new improvement activities, modifying 5 existing improvement activities, and removing 6 existing improvement activities. Updating the measure reporting requirements for the Promoting Interoperability performance category, including a proposal to make the Query of Prescription Drug Monitoring Program (PDMP) measure a required measure beginning with the 2023 performance period and allowing APM Entities to report Promoting Interoperability at the APM Entity level. Retroactively establishing a maximum cost improvement score of 1 percentage point out of 100 percentage points for the cost performance category, starting with the 2022 performance period. Advanced APMs Removing the 2024 expiration of the 8% minimum on the Generally Applicable Nominal Risk standard for Advanced APMs and making the 8% minimum permanent. More details about the comment period for the 2023 PFS Proposed Rule will be coming soon. For More Information Learn more about the 2023 PFS Notice of Proposed Rulemaking and the QPP proposals by reviewing the following resources: Press Release – Provides additional details about the proposed policies for QPP and other CMS initiatives. 2023 QPP Proposed Rule Resources: 2023 Overview Fact Sheet – Outlines proposed revisions to QPP and lists the RFIs included in the 2023 PFS Proposed Rule. 2023 Policy Comparison Table – Showcases the changes to QPP policies proposed in the 2023 PFS Proposed Rule, in comparison to the finalized 2022 policies. 2023 MVP Proposals Table – Highlights the proposed MVP policy changes, beginning with the 2023 performance year.   You're getting this message because you subscribed to get email updates from the Centers for Medicare & Medicaid Services (CMS). Update your subscriptions, modify your password or email address, or stop subscriptions at any time on your Subscriber Preferences Page. You will need to use your email address to log in. If you have questions or problems with the subscription service, please contact subscriberhelp.govdelivery.com. This service is provided to you at no charge by Centers for Medicare & Medicaid Services (CMS). This email was sent to edwardlorilla1986.paxforex@blogger.com using GovDelivery Communications Cloud 7500 Security Boulevard · Baltimore MD 21244