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This summer, cool off with a cold drink and the 1,592-page 2027 CMS Physician Fee Schedule Proposed Rule!
CMS has teased the elimination of Traditional MIPS and full transition to MIPS Value Pathways (MVPs for several years), and we now have a proposed date. Starting in Performance Year 2029, MVPs will be the only option for MIPS participation. To prepare for this shakeup, CMS uses this Proposed Rule to create a two-pronged approach: first, to bolster the MVP library and address scoring concerns; second, to incentivize ACO participation, strengthening the program by enticing clinicians to abandon the MIPS ship altogether.
As you plot your Value-Based Care course, pay attention to these five key themes to ensure you’re not beating the heat by being left out in the cold!
1. Specialty Care Is in the Spotlight
A whopping 80 percent of Part A and Part B charges come from specialty care. However, specialists in large multi-specialty groups have largely been shielded from MIPS quality reporting by the Group Practice Reporting Option. These groups have had the opportunity to report on a set of six quality measures, regardless of the volume of clinicians represented by their selection. By introducing the Ambulatory Specialty Model (ASM) and sunsetting Traditional MIPS, CMS aims to break down the barriers that have precluded meaningful quality reporting for specialty care providers.