2022 PFS Final Rule for the Quality Payment Program Published

• Small practices
• Clinical social workers

Cost Performance Category

The CMS is adding five newly developed episode-based cost measures into the Cost performance category.

Data Completeness

The CMS is maintaining the current data completeness threshold at 70% for the 2022 and 2023 performance periods.

Redistributing Performance Category Weights for Small Practices

The CMS is finalizing the following performance category reweighting and redistribution policies for small practices to put more emphasis on the Improvement Activities performance category:

• When the Promoting Interoperability performance category is reweighted:
  • The Quality performance category will be weighted at 40%;
  • The Cost performance category will be weighted at 30%; and
  • The Improvement Activities performance category will be weighted at 30%.

• When both the Cost and the Promoting Interoperability performance categories are reweighted:
  • The Quality performance category will be weighted at 50%; and
  • The Improvement Activities performance category will be weighted at 50%.

Under the existing policies, when both Quality and the Promoting Interoperability performance categories are reweighted, the Cost and Improvement Activities performance categories will be equally weighted at 50%.

MIPS Value Pathways (MVPs)

One of the seven MVPs starting with the 2023 performance period/2025 MIPS payment year is Advancing Rheumatology Patient Care, created by the ACR. Through this MVP, rheumatology providers can choose among quality measures relevant to rheumatology and improvement activities that have been vetted by rheumatology experts.

The table below lists the measures and activities that are finalized within the Advancing Rheumatology Patient Care MVP.