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Centers for Medicare & Medicaid Services Quality Payment Program
Provide Feedback on Proposed Changes to the Quality Payment Program by Today, September 9

The Centers for Medicare & Medicaid Services (CMS) recently issued its Calendar Year (CY) 2025 Medicare Physician Fee Schedule (PFS) Proposed Rule [ https://www.federalregister.gov/documents/2024/07/31/2024-14828/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other ], which includes proposed policies for the Quality Payment Program (QPP). 

The Notice of Proposed Rulemaking (NPRM) includes proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Information (RFIs). 

Specifically, we’re proposing policies that: 


* Continue the development and maintenance of MIPS Value Pathways (MVPs) 

* Establish the APM Performance Pathway (APP) Plus quality measure set 

* Update the MIPS measure/activity inventories and scoring methodologies 

Finally, we’re proposing a small number of policies intended to maintain stability within the MIPS program through the established performance threshold and data completeness criteria. 

*2025 Policy Highlights* 

Key QPP policies that we're proposing in the 2025 PFS Proposed Rule include: 


* Introducing 6 new MVPs for the 2025 performance period that are related to ophthalmology, dermatology, gastroenterology, pulmonology, urology, and surgical care 

* Creating APP Plus, an additional quality measure set under the APP, which would include the 6 measures currently in the APP quality measure set and incrementally incorporate the remaining 5 Adult Universal Foundation quality measures for a total of 11 measures by the 2028 performance period/2030 payment year 

* Maintaining the current performance threshold policies, leaving the performance threshold set at 75 points for the 2025 performance period 

* Keeping the 75% data completeness criteria through the 2028 performance period 

*Submit a Formal Comment by Today, September 9* 

You must officially submit your comments in one of the following ways [ https://www.federalregister.gov/documents/2024/07/31/2024-14828/medicare-and-medicaid-programs-cy-2025-payment-policies-under-the-physician-fee-schedule-and-other#open-comment ]: 


* Electronically, through Regulations.gov [ https://www.regulations.gov/commenton/CMS-2024-0256-0045 ]  

* Regular mail 

* Express or overnight mail 

Comments are due no later than* **5:00 p.m. ET today, September 9, 2024**.* 

*For More Information* 

Learn more about the QPP proposals by reviewing the following 2025 QPP Proposed Rule Resources: 


* 2025 Quality Payment Program Proposed Rule Fact Sheet and Policy Comparison Table (PDF, 596KB) [ https://www.regulations.gov/commenton/CMS-2024-0256-0045 ] 

* 2025 Proposed and Modified MVPs Guide (PDF, 948KB) [ https://qpp-cm-prod-content.s3.amazonaws.com/uploads/2877/2025-Proposed-and-Modified-MVPs-Guide.pdf ]

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QPP Footer 2023 [ https://qpp.cms.gov/resources/help-and-support ]


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