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MVPs are the newest MIPS reporting option (an alternative to traditional MIPS and APM Performance Pathway (APP)) that you can use to meet your MIPS reporting requirements.
Each MVP includes a subset of measures and activities that are related to a given specialty or medical condition. Visit the Explore MVPs webpage to learn about the MVPs available for reporting.
No. MVPs are one option for meeting your MIPS reporting requirements beginning with the 2023 MIPS performance year. You can also meet MIPS reporting requirements through traditional MIPS and the APM Performance Pathway (APP), though we intend to sunset traditional MIPS through future rulemaking.
Small practices continue to have flexibilities when reporting an MVP, just as in traditional MIPS. These flexibilities in MVP reporting include:
Meeting quality reporting requirements by reporting all Medicare Part B claims measures in your selected MVP, even when there are fewer than 4 measures included.
Receiving 6 bonus points in the quality performance category as long as 1 measure is submitted, just as in traditional MIPS.
Receiving 3 points for quality measures without a benchmark or that don't meet case minimum requirements, just as in traditional MIPS.
Automatic re-weighting of the Promoting Interoperability performance category when reporting an MVP(s), just as in traditional MIPS.
Small practices don't have reduced reporting requirements in the improvement activities performance category when reporting an MVP. All MVP participants must perform 1 high-weighted or 2 medium-weighted improvement activities from those available in their selected MVP.
Why should I transition to reporting MVPs before they are required?
MVPs offer:
1. A more connected assessment of quality of care
Each MVP is developed with a given specialty or medical condition in mind. With more meaningful groupings of measures and activities, MVPs offers a more connected assessment of quality of care.
2. Streamlined, reduced set of measures and improvement activities
We've heard there is too much choice and complexity when selecting and reporting measures and activities in traditional MIPS, causing an increase in administrative burden. With a reduced list of measures and activities to choose from in each MVP, there are fewer options which create deeper measure and activity links and less administrative burden.
3. Enhanced performance feedback
The streamlined, reduced set of measures and improvement activities offer a more connected assessment of quality of care which allows us to offer the opportunity for enhanced performance feedback. This feedback will provide comparisons between similar clinicians that choose to report the same MVP, offering more clinically relevant comparisons. MVPs focus on measures and improvement activities that are relevant to a given specialty or medical condition.
4. An opportunity to become familiar with MVPs and the future of MIPS
MVP reporting isn't currently mandatory but we intend to sunset traditional MIPS through rulemaking in future years. We encourage the early adoption of reporting MVPs to allow clinicians to get comfortable reporting MVPs and preparing for any potential practice workflow changes. You can choose to report an MVP in addition to another reporting option, such as traditional MIPS or the APP, and CMS will take the highest score you receive.
5. Potential to reduce reporting burden across CMS programs
As we transition to MVPs, we are evaluating opportunities to reduce the burden in overall CMS reporting programs. For example, there is some consistency between some CMS Innovation Center (CMMI) models and MVPs. As we continue to receive MVP candidates for development and review annual recommendations for MVP revisions, we will continue to seek out alignment opportunities between MVPs and other CMS programs as applicable.
What are my participation options for reporting MVPs?
Subgroup
Select this option to register a subset - some but not all - of the clinicians within your practice to report one MVP as a subgroup. Recommended for multispecialty groups to allow for reporting of more than one MVP based on clinical relevance. Subgroup participation will be required for multispecialty practices wishing to report MVPs beginning in the 2026 performance year.
View examples of MVP participation as a subgroup:
Example Description
Example MVP(s)
A multispecialty clinic including cardiologists, heart failure specialists, and electrophysiologists selects a subset of clinicians from each specialty to report as a subgroup.
Advancing Care for Heart Disease
An anesthesiology practice employing various anesthesiology clinicians (e.g., anesthesiologists, certified registered nurse anesthetists [CRNAs]), and finds that the relevance of an MVP's measures and activities varies based on the clinician's daily workload. This clinic determines they will form 2 subgroups, reporting the same MVP, but a different set of measures and activities are selected.
Patient Safety and Support of Positive Experiences with Anesthesia
Several internal medicine physicians at a primary care clinic in suburban Illinois employing various clinicians (e.g., primary care physicians, nurse practitioners, and specialist physicians) and regularly supporting treatment for patients with heart disease (see example under 'Group' to learn how these clinicians might participate on the 'Group' level as well)
Optimizing Chronic Disease Management
A clinician can participate in multiple ways to report multiple MVPs. For example, the entire group of internal medicine clinicians can participate as a group to report the "Optimizing Chronic Disease Management" MVP and a subset of those clinicians can participate as a subgroup to report the "Advancing Care for Heart Disease" MVP. A clinician can participate as an individual, subgroup, group, APM Entity, or in any combination of these 4 participation options.
No, a clinician can only participate in one subgroup per
practice
. However, if a clinician works at 2 different practices (i.e., reassign billing rights to 2 different TINs), they can participate in a subgroup at each practice.
This resource focuses on reporting Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs), providing practical information about MVP participation, reporting, scoring and preliminary registration information for the 2024 performance year. Download 2024 MVPs Implementation Guide (PDF)