The 2023 Quality Payment Program Proposed Rule is Here - Learn What Changes are Ahead for MIPS Reporting

The Centers for Medicare and Medicaid Services (CMS) released proposed changes to the Quality Payment Program for 2023 on July 7, 2022. A 60-day comment period will be open until September 6, 2022. The proposal could undergo additional changes before the final regulation is issued in November. **2023 Performance Threshold** The proposed rule would continue to use the 75 point performance penalty threshold for the 2023 performance year. **Exceptional Bonus Pool** There will no longer be an additional performance threshold for exceptional performance in 2023. The 2022 performance year is the last year clinicians can earn an exceptional performance bonus. **MIPS Performance Category Weights** CMS is not proposing any changes to the MIPS performance category weights in 2023. For most radiologists, Quality will continue to be weighted at 85% and Improvement Activities will be weighted at 15%. For small practices, CMS will continue to automatically reweight Improvement Activities performance categories. Quality and Improvement Activities will each be weighted at 50%. **2023 Quality Measure Benchmarks:** * The following changes in Quality measure benchmarks go into effect beginning with the 2023 performance period: * * Measures with a benchmark - The 3-point floor is removed for measures that can be scored against a benchmark. These measures will receive 1-10 points. * * Measures without a benchmark - The 3-point floor is removed for measures without a benchmark (except small practices). These measures will receive 0 points (small practices will continue to earn 3 points). * * Measures that don’t meet case minimum requirements (20 cases) - The 3-point floor is removed (except small practices). These measures will earn 0 points (small practices will continue to earn 3 points). * * New measures- New measures are subject to a floor of 7 points in the first year and 5 points in the second year. * **MIPS Value Pathways (MVPs)** CMS will make MVPs available for reporting gradually, beginning with the 2023 performance year. However, there will not be any radiology MVPs in 2023.