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2020 Updates To The Quality Payment Program: Building On Foundation For Performance-Based Payments.pdf

2020 QPP Final Rule Executive Summary.pdf
Preview of 2020 Updates to the Quality Payment Program: Building on Foundation for Performance-Based Payments
🔗 Source: qpp-cm-prod-content.s3.amazonaws.com
📊 Size: 371 KB
👤 Author: Stephenie Rudig
⬇️ Downloads: 48

Summary

- Overview: The final rule outlines changes to the QPP, effective January 1, 2020, building on the first three years' foundation. It aims to prepare clinicians for full performance-based payments by 2024.

- Participation Growth: Participation in both Advanced Alternative Payment Models (APMs) and Merit-based Incentive Payment System (MIPS) has increased since 2017, with a significant rise in Qualifying APM participations and MIPS eligible clinician involvement.

- COVID-19 Flexibilities: For the 2020 performance year, clinicians can request a 0% weight for one or more MIPS performance categories due to extreme and uncontrollable circumstances using an Extreme and Uncontrollable Circumstances policy. A new high-weighted COVID-19 clinical trial improvement activity is introduced to provide credit in MIPS.

- MIPS Value Pathways (MVPs): The program aims to simplify MIPS, improve value, reduce burden, and enhance patient comparison by implementing MVPs—a subset of measures and activities established through rulemaking. These pathways will focus on relevant, integrated quality and cost measures.

- Other Major MIPS Provisions:
- Strengthened QCDR measure standards requiring testing, harmonization, and clinician feedback.
- Episode-based measures in the cost performance category to better reflect specialist costs.
- Revised total per capita cost and MSPB measures.

- Cost Performance Category Weighting: The cost performance category weight remains at 15% for 2022, with plans to revisit increasing it in future rulemaking to prepare for the 2024 MIPS payment year's higher weight (30%).

- Additional Performance Threshold: Finalized at 85 points for 2022 and 2023 MIPS payment years.

- APM Provisions: Finalized the definition of "Aligned Other Payer Medical Home Model" to include characteristics similar to Medical Home Model and Medicaid Medical Home Model, applicable to other payers.

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Description

The 2020 updates to the Quality Payment Program introduce changes for January 1, 2020, building upon the program's foundation and preparing clinicians for future performance-based payments. Participation in APMs and MIPS has significantly increased since 2017, with nearly double the number of QPs and high MIPS participation rates.

Technical Information

  • File Format: PDF
  • File Size: 371 KB
  • Pages: 10
  • Language: EN
  • Author: Stephenie Rudig
  • Total Downloads: 48
  • Last Updated: 1 month ago

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