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Quality Payment Program (QPP) Support Center

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Reminder: Submit Comments on the 2020 Proposed Rule for the Quality Payment Program by September 27

9/19/2019

Provide Feedback on Proposed Changes to the Quality Payment Program by September 27

On July 27, the Centers for Medicare & Medicaid Services (CMS) released its proposed policies for the 2020 performance year of the Quality Payment Program via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM).

Submit a Formal Comment by Friday, September 27, 2019
CMS is seeking comment on a variety of proposals in the NPRM, including the Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs). Electronic comments are due no later than 11:59 p.m. ET on September 27, 2019 and mailed comments must be received by 5:00 p.m. ET, September 27, 2019.

You must officially submit your comments in one of the following ways:
  • Electronically, through Regulations.gov
  • Regular mail
  • Express or overnight mail
  • By hand or courier
More Information on the Quality Payment Program Policies Proposed in the 2020 PFS NPRM
Key proposals for 2020 performance year of the Quality Payment Program include:
  • Increasing the performance threshold from 30 points to 45 points
  • Revising category weights for Quality (decreases from 45% to 40%) and Cost (increases from 15% to 20%)
  • Increasing the data completeness threshold for the quality data that clinicians submit
  • Increasing the threshold for clinicians who complete or participate in the Improvement Activity for group reporting
  • Updating requirements for Qualified Clinical Data Registry (QCDR) measures and the services that third-party intermediaries must provide (beginning with the 2021 performance period)
  • Revising the specifications for the Total Per Capita Cost (TPCC) and Medicare Spending Per Beneficiary Clinician (MSPB Clinician) measures
For More Information
To learn more about the PFS NPRM and the Quality Payment Program proposals, review the following resources:
  • Fact Sheet – Offers an overview of the QPP proposed policies for 2020 (Year 4) and compares these policies to the current 2019 (Year 3) requirements.
  • MIPS Value Pathways Webpage – Provides an overview of the proposed MVPs framework, how to comment, and where to find more information.