The MIPS Value Pathways (MVPs) is a reporting structure available for the Merit-based Incentive Payment System (MIPS) during 2026. The MVP framework is intended to ease the reporting burden on clinicians and groups by aligning measures and activities across the Quality, Cost, and Improvement Activities categories of MIPS that are more relevant to a clinician's scope of practice.
CMS has finalized a total of 27 MVPs for the 2026 performance year, including 6 new MVPs:
- Adopting Best Practices and Promoting Patient Safety within Emergency Medicine (MVP ID: G0057)
- Advancing Cancer Care (MVP ID: M0001)
- Advancing Care for Heart Disease (MVP ID: G0055)
- Advancing Rheumatology Patient Care (MVP ID: G0053)
- Complete Ophthalmologic Care (MVP ID: M1420)
- Coordinating Stroke Care to Promote Prevention and Cultivate Positive Outcomes (MVP ID: G0054)
- Dermatological Care (MVP ID: M1421)
- Diagnostic Radiology (MVP ID: M1498) (NEW IN 2026)
- Focusing on Women’s Health (MVP ID: M1366)
- Gastroenterology Care (MVP ID: M1422)
- Improving Care for Lower Extremity Joint Repair (MVP ID: G0058)
- Interventional Radiology (MVP ID: M1499) (NEW IN 2026)
- Neuropsychology (MVP ID: M1500) (NEW IN 2026)
- Optimal Care for Kidney Health (MVP ID: M0002)
- Optimal Care for Patients with Urologic Conditions (MVP ID: M1423)
- Pathology (MVP ID: M1501) (NEW IN 2026)
- Patient Safety and Support of Positive Experiences with Anesthesia (MVP ID: G0059)
- Podiatry (MVP ID: M1502) (NEW IN 2026)
- Prevention and Treatment of Infectious Disorders Including Hepatitis C and HIV (MVP ID: M1368)
- Pulmonology Care (MVP ID: M1424)
- Quality Care for Patients with Neurological Conditions (MVP ID: M0004)
- Quality Care for the Treatment of Ear, Nose, and Throat Disorders (MVP ID: M1367)
- Quality Care in Mental Health and Substance Use Disorders (MVP ID: M1369)
- Rehabilitative Support for Musculoskeletal Care (MVP ID: M1370)
- Surgical Care (MVP ID: M1425)
- Value in Primary Care (MVP ID: M0005)
- Vascular Surgery (MVP ID: M1503) (NEW IN 2026)
Who Can Report MVPs?
MVPs can be reported by the following participants:
- Individual clinicians
- Single specialty groups
- Multispecialty groups (with 15 or fewer clinicians for small practice status)
- Subgroups
- APM Entities
MVP Reporting Requirements
- Quality: Select 4 measures within the MVP and collect data for the full year (Jan 1 - Dec 31). CMS also evaluates a population health measure using claims data.
- Improvement Activities: Choose 1 activity within the MVP and perform it for at least 90 continuous days.
- Promoting Interoperability: Report the measure set for a continuous 180-day period. Some clinicians with special status may not be required to report data for this performance category.
- Cost: No data submission required. CMS scores you using MVP-specific cost measures.
MVP Registration
Clinicians, groups, and subgroups reporting MVPs must register through the QPP website during the performance period. QCDRs and Qualified Registries have 1 year to support new MVPs.
For more information about MVPs, visit the CMS MIPS Value Pathways page.
If you have questions about reporting MVPs through MDinteractive, please contact us.