- CMS is removing the three-point floor for measures that can be reliably scored against a benchmark (meet case minimum and data completeness). These measures will receive 1–10 points.
- This policy doesn’t apply to new measures in the first two performance periods available for reporting.
- CMS is removing the three-point floor for measures without a benchmark, even when data completeness and case minimum criteria are met. These measures will receive zero points. Small practices will continue to earn three points.
- This policy doesn’t apply to new measures in the first two performance periods available for reporting or to administrative claims measures.
- CMS is removing the three-point floor for measures that don’t meet case minimum. These measures will earn zero points. Small practices will continue to earn three points.
- This policy doesn’t apply to new measures in the first two performance periods available for reporting or to administrative claims measures. Measures calculated from administrative claims are excluded from scoring if the case minimum is not met.
Promoting Interoperability Performance Category
The CMS proposes to:
- Discontinue automatic reweighting for the following clinician types: nurse practitioners, physician assistants, certified registered nurse anesthetists and clinical nurse specialists;
- Continue automatic reweighting for the following clinician types: clinical social workers, physical therapists, occupational therapists, qualified speech-language pathologists, qualified audiologists, clinical psychologists and registered dieticians or nutrition professionals;
- Modify the levels of active engagement for the Public Health and Clinical Data Exchange Objective measures;
- Make the query of Prescription Drug Monitoring Program (PDMP) measure a required measure;
- Add a third option for satisfying the health information exchange (HIE) objective in the Promoting Interoperability category: Participation in the Trusted Exchange Framework and Common Agreement (TEFCA); and
- Adjust some of the individual Promoting Interoperability measures’ maximum points.
Improvement Activities Performance Category
The CMS is proposing to update the improvement activities inventory by:
- Adding four new improvement activities;
- Modifying five existing improvement activities; and
- Removing six improvement activities.
- Note that one activity proposed for removal—IA_PSPA_6: Consultation of the Prescription Drug Monitoring Program—has been a popularly submitted improvement activity through the RISE registry.
MIPS Value Pathways (MVPs) Proposals
The CMS proposes:
- Minor updates to the Advancing Rheumatology Patient Care MVP;
- To broaden the opportunities for the public to provide feedback by posting draft versions of MVP candidates on the QPP website; and
- Adding five new MVPs and revising the seven previously established MVPs that would be available beginning with the 2023 performance year.
The following policies were previously finalized in the CY 2022 PFS Final Rule and apply in the 2023 performance period: