[Slideshow]: MIPS 2021 Changes from the Final Rule

CMS released the 2021 Physician Fee Schedule (PFS) final rule which contained the revised MIPS requirements. Next year CMS is upping the minimum score requirements and plans to post your 2018 MIPS performance to Physician Compare. Below is a slideshow highlighting the major changes that came out of the ruling.

We've also provided the links to the CMS final rule documents below.

• 2021 QPP Resources (Find the link labeled 2021 Quality payment Program Final Rule Resources for a full packet of documents.)
• 2021 PFS Final Rule

Here’s a slideshow that highlights the key changes to the program that may affect you or your clinicians.

As a reminder, CMS plans to transition to the MIPS Value Pathways (MVPs) program in 2022. We will provide more education on the specifics as CMS releases the details. In the meantime, I wanted to give a quick overview of the concept.

The idea is that clinicians will report on fewer measures and activities based on specialty and/or outcome.

Here’s an example of how this would look. In the current model specialists like an Endocrinologist would choose measures to report for MIPS from the same set of measures as every other clinician in the program.

In the new MVP framework, Endocrinologists report on a set of measures and activities that are relevant to them, for instance diabetes prevention and treatment. So, their MIPS Value Pathway would look like this for reporting to MIPS.

The goal is for clinicians to report less burdensome and more relevant data and for CMS to provide more data through administrative claims and enhanced performance feedback that is meaningful to clinicians and patients.

CMS is still finalizing the program and will release more details this year.

These changes are not all encompassing of the final rule, but remember that when you partner with a MIPS vendor like Medisolv, our clinical experts work closely with you—every step of the way—to help you gain a better understanding of the changes to MIPS and guide you through a successful MIPS submission year after year.

Find out more about our MIPS solution.