CY2025 PFS Proposed Rule Released Includes Proposed QPP Updates

CMS Proposes Policy Changes for Quality Payment Program The Centers for Medicare & Medicaid Services (CMS) has issued its Calendar Year (CY) 2025 Medicare Physician Fee Schedule (PFS) Proposed Rule, which includes proposed policies for the Quality Payment Program (QPP).  The Notice of Proposed Rulemaking (NPRM) includes proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Information (RFIs). Specifically, we're proposing policies that: Continue the development and maintenance of MVPs Establish the APM Performance Pathway (APP) Plus quality measure set Update the MIPS measure/activity inventories and scoring methodologies Finally, we're proposing a small number of policies intended to maintain stability within the MIPS program through the established performance threshold and data completeness criteria. 2025 Policy Highlights Key QPP policies that we are proposing in the 2025 PFS Proposed Rule include: Introducing 6 new MVPs for the 2025 performance period that are related to ophthalmology, dermatology, gastroenterology, pulmonology, urology, and surgical care. Creating APP Plus, an additional quality measure set under the APP, which would include the 6 measures currently in the APP quality measure set and incrementally incorporate the remaining 5 Adult Universal Foundation quality measures for a total of 11 measures by the 2028 performance period/2030 payment year. Maintaining the current performance threshold policies, leaving the performance threshold set at 75 points for the 2025 performance period. Keeping the 75% data completeness criteria through the 2028 performance period. Overview of RFIs We are also seeking feedback on RFIs about the following topics: MVP adoption and subgroup participation Public Health and Clinical Data Exchange Objective under the Promoting Interoperability performance category Guiding principles for the development of patient-reported outcome quality measures Changes to the administration of the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey For More Information Learn more about the QPP proposals by reviewing the following 2025 QPP Proposed Rule Resources: 2025 Quality Payment Program Proposed Rule Fact Sheet and Policy Comparison Table –Provides an overview of QPP proposals and RFIs included in the CY 2025 Medicare Physician Fee Schedule (PFS) Proposed Rule, and a comparison table contrasting existing policies with proposals. 2025 Proposed and Modified MVPs Guide – Highlights newly proposed MVPs and modifications to previously finalized MVPs, beginning with the 2025 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