MVP ID: M1501
Most applicable medical specialty(s):
Pathology
The Pathology MVP assesses meaningful outcomes in pathology.
Quality
Report 4 quality measures (one must be an outcome or a high priority measure):
- Quality ID: 249 - Barrett’s Esophagus
- Quality ID: 250 - Radical Prostatectomy Pathology Reporting
- Quality ID: 395 - Lung Cancer Reporting (Biopsy/Cytology Specimens)
- Quality ID: 396 - Lung Cancer Reporting (Resection Specimens)
- Quality ID: 397 - Melanoma Reporting
- Quality ID: 440 - Skin Cancer: Biopsy Reporting Time – Pathologist to Clinician
- Quality ID: 491 - Mismatch Repair (MMR) or Microsatellite Instability (MSI) Biomarker Testing Status
- Quality ID: CAP30 - Urinary Bladder Cancer: Complete Analysis and Timely Reporting (QCDR)
- Quality ID: CAP34 - Molecular Assessment: Biomarkers in Non-Small Cell Lung Cancer (QCDR)
- Quality ID: CAP40 - Squamous Cell Skin Cancer: Complete Reporting (QCDR)
- Quality ID: QMM21 - Incorporating results of concurrent studies into Final Reports for Bone Marrow Aspirate of patients with Leukemia, Myelodysplastic syndrome, or Chronic Anemia (QCDR)
- Quality ID: QMM25 - Use of Structured Reporting for Urine Cytology Specimens (QCDR)
- Quality ID: QMM29 - Use of Appropriate Classification System for Lymphoma Specimen (QCDR)
- Quality ID: QMM30 - Appropriate Use of Bethesda System for Reporting Thyroid Cytopathology on Fine Needle Aspirations (FNA) of Thyroid Nodule(s) (QCDR)
Improvement Activities
Report one improvement activity from the list below:
- Activity ID: IA_BE_15 - Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
- Activity ID: IA_BE_26 - Promote Use of Patient-Reported Outcome Tools
- Activity ID: IA_BE_6 - Regularly Assess Patient Experience of Care and Follow Up on Findings
- Activity ID: IA_BMH_12 - Promoting Clinician Well-Being
- Activity ID: IA_CC_12 - Care coordination agreements that promote improvements in patient tracking across settings
- Activity ID: IA_CC_19 - Tracking of clinician’s relationship to and responsibility for a patient by reporting MACRA patient relationship codes
- Activity ID: IA_CC_9 - Implementation of practices/processes for developing regular individual care plans
- Activity ID: IA_MVP - Practice-Wide Quality Improvement in MIPS Value Pathways
- Activity ID: IA_PCMH - Electronic submission of Patient Centered Medical Home accreditation
- Activity ID: IA_PSPA_1 - Participation in an AHRQ-listed patient safety organization
- Activity ID: IA_PSPA_12 - Participation in private payer CPIA
- Activity ID: IA_PSPA_13 - Participation in Joint Commission Evaluation Initiative
- Activity ID: IA_PSPA_2 - Participation in MOC Part IV
- Activity ID: IA_PSPA_35 - Adopt Certified Health Information Technology for Security Tags for Electronic Health Record Data
Cost
Calculated by CMS using administrative claims data:
Population Health Measures
CMS will calculate both population health measures using administrative claims data (if case minimum requirements are met) and assign the higher of these measures to the Quality score. If neither of the population health measures can be calculated, they will be excluded from scoring.
- #479: Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR) Rate for the Merit-Based Incentive Payment Program (MIPS) Groups (Administrative Claims)(!!)
- #484: Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic Conditions (Administrative Claims) (!!)
Promoting Interoperability
Report on the same PI measures required under traditional MIPS unless qualified for automatic reweighting or approved hardship exception:
- Actions to Limit or Restrict Compatibility or Interoperability of CEHRT Attestation
- e-Prescribing
- Query of the Prescription Drug Monitoring Program (PDMP)
- Provide Patients Electronic Access to Their Health Information
- Support Electronic Referral Loops By Sending Health Information AND
- Support Electronic Referral Loops By Receiving and Reconciling Health Information OR
- Health Information Exchange (HIE) Bi-Directional Exchange
- Enabling Exchange Under the Trusted Exchange Framework and Common Agreement (TEFCA)
- Immunization Registry Reporting
- Syndromic Surveillance Reporting
- Electronic Case Reporting
- Public Health Registry Reporting
- Clinical Data Registry Reporting
- Security Risk Analysis
- Safety Assurance Factors for EHR Resilience Guide (SAFER Guide)
- ONC Direct Review Attestation
- Public Health Reporting Using TEFCA
MVP Registration
- MVP Participants must register between April 1 – December 1, 2026 to report an MVP in 2026.
- To register, MVP Participants must select:
- The MVP they intend to report.
- Any outcomes-based administrative claims measures on which the MVP Participant intends to be scored (if available).
- Whether they plan to administer the Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey, if it’s a quality measure option in the selected MVP.
- The participation option they plan to use: individual, group, subgroup, or APM Entity.
- Starting in 2026, to register for MVP reporting as a group, the practice will need to attest to their specialty composition (whether they are a single specialty group or multispecialty small practice) during the MVP registration process. CMS won’t make this determination for the practice. All other groups will need to participate as subgroups or as individuals (if eligible) to report an MVP.
- If reporting as a subgroup, registration must also include:
- A list of Taxpayer Identification Numbers (TINs)/National Provider Identifiers (NPIs) in the subgroup;
- A plain language name for the subgroup (which will be used for public reporting);
- A description of the composition of the subgroup, which may be selected from a list or described in a narrative.
- MVP Participants won’t be able to:
- Submit/make changes to the MVP they select after the close of the registration period (December 1, 2026).
- Report on an MVP they didn’t register for during the 2026 performance year.
- Report on more than one MVP.