2024 is a significant year for healthcare providers with MIPS still a requirement for all eligible clinicians. With the potential financial impact to your practice, it is critical that the 2024 MIPS reporting options are understood. Healthcare providers can report under Traditional MIPS, the Alternative Payment Model (APM) Performance Pathway (APP), or MIPS Value Pathways (MVPs).

Traditional MIPS

Traditional MIPS is the original option available for MIPS eligible clinicians to report data. Through this option, performance is measured across 4 different categories: quality, improvement activities, Promoting Interoperability, and cost. These 4 performance categories are scored to make up the total MIPS final score that will determine the payment adjustment applied to Medicare Part B claims.

To report through Traditional MIPS, eligible clinicians (ECs) submit their quality, improvement activities, and Promoting Interoperability measure data collected during the performance year to CMS. For a wider range of measures to choose from, consider a Qualified Registry like Quantician. The cost measures will be collected and calculated for scoring by CMS.

For Traditional MIPS, ECs can participate as an individual, group, virtual group, or APM Entity.

The Alternative Payment Model Performance Pathway (APP)

The APP is an optional MIPS reporting pathway for MIPS ECs who also participate in MIPS APMs. The pathway was created with the goal of reducing reporting burdens, forming new scoring opportunities for MIPS APM participants, and generating APM participation interest. APP performance is measured by scoring 3 categories: quality, improvement activities, and Promoting Interoperability.

Reporting through the APP is available to any MIPS EC identified on an APM Participation list or Affiliated Practitioner List of an APM Entity participating on any of the 4 snapshot dates during the performance year - March 31, June 30, August 31, and December 31.

The APP operates using a single, predetermined measure set that MIPS APM participants can report on. The 3 performance categories mentioned above (quality, improvement activities, and Promoting Interoperability) will be used to determine the final score. The final score will then be used to determine the payment adjustment.

APM Entities (Non MSSP ACOs), Medicare Shared Savings Program (MSSP) ACOs, groups, and individuals can participate in the APP.

MIPS Value Pathways (MVPs)

MVPs are the newest reporting option available to meet the MIPS reporting requirement. MVP reporting involves measures and activities related to a specific specialty. Although MVPs are not currently required, CMS will require any multi-specialty group to report MVPs as subgroups or individuals starting in 2026. As time progresses, CMS plans to replace traditional MIPS with MVPs - making it required unless a clinician is able to report to the APP. To be ahead of the curve and learn the intricacies of MVPs view more here.

MVPs aim to help foster greater quality of care, reduce measures and improvement activities, enhance performance feedback, and reduce reporting burdens.

Through the MVP reporting option, clinicians have the opportunity to participate as an individual, subgroup, group, APM Entity, or in a combination of the participation options. This means a clinician can report multiple MVPs.

No matter your reporting preference, working with a CMS qualified registry is always beneficial. Reduce the stress of measuring and tracking quality performance by scheduling a demo with Quantician today.