This article discusses the upcoming MIPS Value Pathway (MVP) reporting program and emphasizes the need for practices to start preparing now. It highlights the differences in workload between MIPS and MVP, provides a recommended five-year plan, and offers resources and support for practices interested in participating in MVP reporting.
By now, you’ve probably heard enough industry chatter (or Medisolv warning shots!) to know what’s coming: the MIPS Value Pathway (MVP) reporting program, CMS’s eventual replacement to the traditional MIPS reporting framework. While there has been some back and forth over when practices will be required to report under MVP, no official sunset date has been set for the traditional MIPS reporting framework. But if you read the 2024 PFS Final Rule carefully, it’s clear that CMS has not abandoned its originally proposed 2028 MIPS sunset deadline either.
So, worst case scenario, you have until 2028 to figure out MVP reporting for your practice—which is plenty of time, right? Not exactly. Once you dive into the MVP requirements, it becomes startlingly clear just how much work it will take to set your practice up for success. Practices who want to perform well when it’s go-time need to start now. Let’s take a look at what you need to do—as well as Medisolv’s handy five-year plan for getting it all done.
As of now, voluntary reporting on MVP is available to any practice that wishes to participate. However, if CMS’s proposed timeline stands, by 2028, each of your eligible clinicians needs to be accounted for and reporting under a “subgroup” (typically by specialty). And if you choose to do voluntary MVP reporting sooner (which we strongly recommend) mandatory subgroup reporting goes into effect for you even sooner: 2026.
What does this mean for you? Under traditional MIPS, you have only been required to make one submission under your TIN. But with MVP, you will be required to make one submission per subgroup, adding up to multiple submissions depending on the number of specialties in your practice.
You also must submit four quality measures per MVP you choose to track, so, each submission could include measures you’ve never tracked before and measure types you’ve never collected before (ex: CQM collection type).
The graphic below shows a real-world example of how the switch to MVP affected a Medisolv client, and how it created an extraordinary amount of work for their practice.
Additionally, just like with MIPS, you will still be required to report performance data for at least 75% of patients who qualify for each selected quality measure within each MVP.
Keep in mind that each MVP also has its own unique set of Improvement Activities to choose from which your practice will also be responsible for tracking, adding to the already dense workload.
Odds are, there will be many, many measures that are new to your practice which you will have to set up, track, and improve upon to protect your reimbursements by 2028. But practice makes perfect, and that is why Medisolv recommends a 5-year plan, so your practice can make the most of MVPs.
2024 – Start with testing 1 MVP. This will allow you to get familiar with the requirements and processes involved in MVP reporting. You can also use this time to identify any challenges or gaps in your data collection and reporting systems. Medisolv recommends starting with Value in Primary Care because it’s very similar to traditional MIPS and includes a composite measure identical or similar to those you most likely already have in place like Diabetes: Hemoglobin A1c and Screening for Depression.
2025 – Test 2-3 additional MVPs. This will allow you to activate quality measures you may not be tracking yet. It will also give you a broader base of data to work with so you can begin to identify trends and patterns in your performance.
2026 – Activate all subgroups. In 2026, subgroup reporting becomes required if you intend to voluntarily report MVPs. This means all eligible clinicians in your practice must be accounted for and split into a relevant subgroup. Use the work you’ve done in the previous two years to decide which MVPs should be reported under which subgroup.
2027 – Optimize your performance by moving low-performing doctors around to different MVPs and implementing quality improvement initiatives. CMS is vague about which clinicians can fall under the different MVPs, so use this to your advantage and submit what is performing the best.
2028 – In 2028, you should aim to optimize your performance again as MVP reporting becomes required. Since you have been practicing tracking MVPs, finding where your practice performs the best, and prepared for the workload that comes with multiple submissions, optimizing in 2028 will boost your chances of stellar performance and protect the reimbursements for your clinicians.
If you choose to participate in an MVP now, you must register with QPP. Registration is currently open and closes on December 2, 2024. You can change your registration until the December 2nd deadline. If you choose, you can also report using another framework and CMS will award the higher of the two scores.
During the registration process, you will select:
Remember, Medisolv is prepared to help you on your journey to successfully reporting MVPs. We currently support the following MVPs in 2024, which means we can submit these on your behalf.
Looking for more actionable tips to improve your organization's involvement in the MIPS MVP program? Medisolv can help. Here are some additional resources to help you on your MVP journey:
Article: 2024 QPP Requirements
Tool: MVP Selection Worksheet: A Guide to Choosing Which MVP to Report
Article: Changes to the Quality Payment Program under the 2024 PFS Final Rule
Tool: The 2024 MVP Reporting Bundle
Medisolv Can HelpThis is a big year for Quality. Medisolv can help you along the way. Along with award-winning software, you receive a Clinical Quality Advisor that helps you with all of your technical and clinical needs. We consistently hear from our clients that the biggest differentiator between Medisolv and other vendors is the level of one-on-one support. Especially if you use an EHR vendor right now, you’ll notice a huge difference.
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