The CMS 2023 Quality Payment Program Final Rule is Here - Learn What Changes are Ahead for MIPS Reporting
The Centers for Medicare and Medicaid Services (CMS) released the Final Rule changes to the Quality Payment Program for 2023 on November 1, 2022. The rule provides policy updates to the traditional Merit-based Incentive Payment System (MIPS) program and the new MIPS Values Pathway (MVPs) framework.
2023 Performance Threshold
The proposed rule will 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
There will be no 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%.
*non-patient facing radiologists
Improvement Activities Updates
There are no major changes to the MIPS Improvement Activities (IA) category other than updates to the IA inventory. CMS is adding four new activities, modifying five current activities, and removing five existing improvement activities from the IA inventory
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).
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.
