eCQM reporting

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released the final rule for the 2025 Medicare Physician Fee Schedule (PFS). The final rule includes several key changes affecting Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), as CMS continues its shift towards digital quality measures (dQMs). With the CMS Web Interface ending after the 2024 performance year, the final rule focuses on the future of quality reporting by aligning with the Universal Foundation of quality measures and extending eCQM / MIPS CQM reporting incentives. This blog summarizes the changes and their implications for ACOs in 2025 and beyond.

On July 10, 2024, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the 2025 Medicare Physician Fee Schedule (PFS). The proposed rule includes several key changes affecting Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), as CMS continues its shift towards digital quality measures (dQMs). With the CMS Web Interface concluding after the 2024 performance year, the proposed rule focuses on the future of quality reporting by aligning with the Universal Foundation of quality measures and extending electronic Clinical Quality Measure (eCQM) reporting incentives. This blog summarizes the proposed changes and examines their implications for ACOs in 2025 and beyond.

Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) will be required to report electronic clinical quality measures (eCQMs) or MIPS CQMs beginning in 2025 after the CMS Web Interface sunsets. The shift towards a new reporting method has significant implications for ACOs, so understanding how quality will be reported and assessed is critical. In this article, we will cover what ACOs need to know about the new reporting requirements and why gaining early experience with the measures can lead to better reporting results in the future.