MIPS Value Pathways

In recent years, the Centers for Medicare & Medicaid Services (CMS) has proposed a “MIPS Value Pathways” or “MVP” policy to ease the burden placed in individuals and groups participating in the Merit-based Incentive Payment System (MIPS) under the Quality Payment Program (QPP). According to CMS, the MVP framework  “aims to align and connect measures and activities across the quality, cost, and improvement activities performance categories of MIPS for different specialties or conditions.”

MVPs are not available for reporting in MIPS performance year 2021. 

CMS is expected to make MVPs available for reporting in 2022. ASA expects to know more once the 2022 Proposed Quality Payment Program Rule is released in Summer 2021.

ASA has supported several CMS MVP policy proposals, including:

  • Establishing MVPs for patient conditions and episodes of care.
  • Encouraging shared accountability MVPs where anesthesiology measures and improvement activities are linked to surgical, primary care, and other specialist measures as well as measures that assess patient outcomes and patient-reported outcomes.  
  • Using MVPs to reduce barriers to Alternative Payment Model participation by individuals and groups.
  • Ensuring that anesthesiologists and other non-patient-facing physicians and clinicians maintain their promoting interoperability exemption. 

In 2021, ASA submitted two MVPs for CMS consideration in 2022:

  1. Anesthesiology MVP – includes common quality measures and improvement activities that could be used in a majority of procedures that involve the work of anesthesiologists. 
  2. Total Joint Replacement of the Lower Extremity MVP – includes anesthesiology measures but also measures that orthopedic surgeons, geriatricians, primary care physicians, and other clinicians can use to measure the care provided to patients. ASA worked with AAOS and other specialty organizations to develop this MVP proposal.

It is expected that CMS will propose several MVPs in its 2022 Proposed Quality Payment Program Rule in Summer 2021. A recent ASA Monitor article details additional considerations for groups and individuals considering MVPs in future reporting years. 

CMS has provided additional materials on MVPs, including MVP guiding principles, on its website.

For more information, please contact ASA Department of Quality and Regulatory Affairs at qra@asahq.org