MIPS
Most providers will be subject to MIPS — the Merit-Based Incentive Payment System, which consists of revised performance categories:
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MACRA
On January 1, 2017, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) reformed the Medicare physician payment system through the creation of the Quality Payment Program, rewarding Medicare providers for the quality and value of care patients receive, rather than for the volume of services provided.
Merit-Based Incentive Payment System 2025
eClinicalWorks can help you navigate every aspect of the new requirements. Our experts have the experience and knowledge you need to choose the right mix of quality measures for your practice.
Maximum Positive MIPS Adjustment
2025 Performance Year
MIPS Value Pathways (MVPs)
MVPs are the newest MIPS reporting option (an alternative to “traditional MIPS” and “APM Performance Pathway (APP)”) that you can use to meet your MIPS reporting requirements.
There are several participation options for the MVP method. Providers can report individually, as a single specialty group, a multi-specialty group, a subgroup, or as part of the APM entity. A subgroup would be a subset of providers that are a part of a larger group under the same Tax ID that could form a smaller subgroup to report data for that set of providers.
Participation and Registration
- Individual
- Single Specialty Group
- Multi-Specialty Group
- Subgroup
- APM Entity
Providers or groups must register between April 1st – November 30th of 2024 indicating which MVP they plan to report and the providers who are part of the group. Under MVP reporting you would still be responsible to report the same four performance categories as MIPS, but with slightly different requirements.
Available MVPs For 2025 Reporting:
Finalized MVPs:
- Complete Ophthalmologic Care MVP
- Dermatological Care MVP
- Gastroenterology Care MVP
- Optimal Care for Patients with Urological Conditions MVP
- Pulmonology Care MVP
- Surgical Care MVP
- Adopting Best Practices and Promoting Patient Safety within Emergency Medicine MVP
- Advancing Cancer Care MVP
- Advancing Care for Heart Disease MVP
- Advancing Rheumatology Patient Care MVP
- Coordinating Stroke Care to Promote Prevention and Cultivate Positive Outcomes MVP
- Focusing on Women’s Health MVP
- Improving Care for Lower Extremity Joint Repair MVP
- Optimal Care for Kidney Health MVP
- Patient Safety and Support of Positive Experiences with Anesthesia MVP
- Prevention and Treatment of Infectious Disorders Including Hepatitis C and HIV MVP
- Quality Care for Patients with Neurological Conditions MVP
- Quality Care for the Treatment of Ear, Nose, and Throat Disorders MVP
- Value in Primary Care MVP
- Rehabilitative Support for Musculoskeletal Care MVP
- Quality Care in Mental Health and Substance Use Disorders MVP
APMs
APMs, or Alternative Payment Models, offer additional incentives to practices that adopt risk, provide high-quality, cost-efficient care, and meet certain conditions.
Medical Home
ACO
Bundled Payments
Advanced APMs are for practices who are willing to take additional risk based on their patient outcomes. Qualifying Participants (QP) participating in Advanced Alternative Payment Models (AAPM) can earn a 1.8 percent incentive for performance year 2025, and a higher Physician Fee Schedule update for performance years 2025 and beyond.
How eClinicalWorks Can Help
eClinicalWorks helps customers meet complex MACRA/MIPS requirements with free videos, webinars, and documentation. Our consultants work with individual and group practices to navigate the complex regulatory environment in the transition to value-based care, including:
- Measuring setup and workflow optimization
- Quantifying the frequency of quality measure compliance for patient populations
- Navigating performance categories, such as Quality, Promoting Interoperability, and Improvement Activities
- Submitting MIPS data to CMS electronically
- Selecting measures to maximize practices’ Composite Performance Scores
- Training in the use of dashboards and Clinical Quality Worksheets
- Assisting with reporting for those in the APM Performance Pathway (APP)
“I had the pleasure of working with my eClinicalWorks MIPS consultant. Without her expertise, I could not have achieved the remarkable scores and incentives I did. She was readily available to answer any questions. I would not want to even attempt to deal with MIPS without help from my trusted eClinicalWorks resource!”
Terry Goldblatt, Center For Dermatology
MIPS
Most providers will be subject to MIPS — the Merit-Based Incentive Payment System, which consists of revised performance categories:
Merit-based Incentive Payment System 2023
eClinicalWorks can help you navigate every aspect of the new requirements. Our experts have the experience and knowledge you need to choose the right mix of quality measures for your practice.
Maximum Positive MIPS Adjustment
MIPS Value Pathways (MVPs)
MVPs are the newest MIPS reporting option (an alternative to “traditional MIPS” and “APM Performance Pathway (APP)”) that you can use to meet your MIPS reporting requirements.
There are several participation options for the MVP method, Providers can report individually, as a single specialty group, a multi-specialty group, a subgroup, or as part of the APM entity. A subgroup would be a subset of providers that are a part of a larger group under the same Tax ID that could form a smaller subgroup to report data for that set of providers.
Participation and Registration
Individual
Single Specialty Group
Multispecialty Group
Subgroup
APM Entity
Providers or groups must register between April 1st – November 30th of 2023 indicating which MVP they plan to report, and the providers who are part of the group. Under MVP reporting you would still be responsible to report the same four performance categories as MIPS, but with slightly different requirements.
Available MVPs For 2023 Reporting:
Finalized MVPs:
- Patient Safety and Support of Positive Experiences
- Optimizing Chronic Disease Management
- Adopting Best Practices and Promoting Patient Safety within Emergency Medicine
- Advancing Care for Heart Disease
- Improving Care for Lower Extremity Joint Repair
- Advancing Rheumatology Patient Care
- Coordinating Stroke Care to Promote Prevention and Cultivate Positive Outcomes
- Advancing Cancer Care
- Optimal Care for Kidney Health
- Optimal Care for Patients with Episodic Neurological Conditions
- Supportive Care for Neurodegenerative Conditions
- Promoting Wellness
APMs
APMs, or Alternative Payment Models, offer additional incentives to practices that adopt risk, provide high-quality, cost-efficient care, and meet certain conditions.
Medical Home
ACO
Bundled Payments
Advanced APMs are for practices who are willing to take additional risk based on their patient outcomes. Qualifying Participants (QP) participating in Advanced Alternative Payment Models (AAPM) can earn annual positive adjustments of 5%.
eClinicalWorks helps customers meet complex MACRA/MIPS requirements with free videos, webinars, and documentation. Our consultants work with individual and group practices to navigate the complex regulatory environment in the transition to value-based care, including:
- Measuring setup and workflow optimization
- Quantifying the frequency of quality measure compliance for patient populations
- Navigating performance categories, such as Quality, Promoting Interoperability, and Improvement Activities
- Submitting MIPS data to CMS electronically
- Selecting measures to maximize practices’ Composite Performance Scores
- Training in the use of dashboards and Clinical Quality Worksheets
- Assisting with reporting for those in the APM Performance Pathway (APP)
“I had the pleasure of working with my eClinicalWorks MIPS consultant. Without her expertise, I could not have achieved the remarkable scores and incentives I did. She was readily available to answer any questions. I would not want to even attempt to deal with MIPS without help from my trusted eClinicalWorks resource!”
Terry Goldblatt, Center For Dermatology
