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 MIPS Value Pathways (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're 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
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