CMS just released its 2023 Quality Payment Program (QPP) Results At a Glance and there’s a lot to unpack, especially for clinicians navigating MIPS, MVPs, and APMs. Whether you’re a solo provider, part of a group, or operating under an APM entity, this report offers important insights that could impact your 2025 Medicare payments. Let’s break down the key takeaways and how MDinteractive can help you turn this knowledge into action.
Who Participated (And How Did They Do?)
Over 541,000 clinicians are set to receive a MIPS payment adjustment for the 2023 performance year. Notably:
- 463,669 clinicians earned Qualifying APM Participant (QP) status.
- 41,764 clinicians registered for a MIPS Value Pathway (MVP), but only 6,790 ultimately received a final score through MVP reporting.
- Clinicians in solo and small group practices continue to face reporting challenges. About 26.1 percent of small groups and over 50 percent of solo providers didn’t report at all.
Key Takeaway: Nonreporting remains risky and widespread among smaller practices.
MVPs Show Promise but Need More Adoption
MVPs are still in their early days, but the numbers are encouraging:
- Clinicians who submitted via MVPs had a median score of 87.9 compared to 82.1 for traditional MIPS.
- Despite the promise, many MVP registrants didn’t complete the full reporting process.
Key Takeaway: MVPs are working, but clinicians need better support navigating them.
Final Scores: How Did Everyone Fare?
The performance threshold stayed at 75 points and most clinicians hit the mark:
- Overall mean score: 83.2
- Traditional MIPS: 79.9
- APM Performance Pathway: 94.4
- MVP participants: 82.9
Here’s how final scores translated into payment adjustments:
| Final Score | Payment Adjustment (PY2025) | Percent of Clinicians |
|---|---|---|
| 0 to 18.75 | Max Negative (9 percent) | 2.26 percent |
| 18.76 to 74.99 | Negative (-6.75% – 0%) | 12.13 percent |
| 75 | Neutral | 4.75 percent |
| 75.01 to 88.99 | Positive (0 to 1.21 percent) | 38.86 percent |
| 89 to 100 | Positive (1.21 to 2.15 percent) | 42.00 percent |
Reminder: There’s no exceptional performance bonus anymore, but strong scores still pay off.
Performance Breakdown by Category
Let’s take a quick look at how clinicians performed in each MIPS category (*mean unweighted category scores):
- Quality: 75.3 percent
- Cost: 60.9 percent
- Promoting Interoperability: 95.6 percent
- Improvement Activities: 95.4 percent
High scores in Promoting Interoperability and Improvement Activities were common. Cost and Quality had more variation which means room for growth or risk.
Why This Matters for 2025 (And Beyond)
Here’s what the numbers are telling us:
- Active participation is essential. CMS penalties for nonreporting are steep (up to 9 percent) and more clinicians are being affected each year.
- MVPs and APMs offer upside, but only if you report completely and correctly
- Smaller practices need extra support to stay compliant and competitive
MDinteractive: Your MIPS Reporting Partner
MDinteractive is a CMS Qualified Registry with over 20 years of experience helping clinicians succeed in MIPS. We work with individual providers, group practices, ACOs, and health systems across the country.
Here’s how we can help:
- Simplify your MIPS reporting with our all-in-one platform
- Support MVP, traditional MIPS, and APM Performance Pathway reporting
- Monitor performance in real time across all categories
- Ensure data completeness and help you avoid penalties
- Provide guidance on the best pathway for your practice
Whether you’re new to MIPS or a seasoned pro, we’re here to help you maximize your score and your Medicare payments.
Ready to Prepare for the 2025 Performance Year?
Don’t wait until it’s too late. The 2023 results show how critical reporting accurately and strategically is. Contact us today to see how MDinteractive can support your team with stress-free MIPS reporting.
Source: CMS 2023 QPP Results At a Glance
https://qpp-cm-prod-content.s3.amazonaws.com/uploads/3238/2023-QPP-Resul...
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