- Home
- Advocacy
- Latest News and Practice Data
- CMS Proposed Increasing Performance Thresholds in 2022 Medicare Quality Payment Program
Also, on July 13, the CMS released its proposed 2022 Quality Payment Program (QPP) proposals. In its proposed 2022 QPP regulations, the CMS proposed to increase the Performance Threshold to 75 points from the current 60 points. The CMS also proposed to increase the exceptional Performance Threshold to 89 points from the current 85 points. The CAP has long advocated reducing MIPS reporting burdens for pathologists.
In 2022, pathologists eligible for Medicare’s MIPS will have to take action to avoid penalties that reduce future Medicare Part B payments for their services. Performance in MIPS in 2022 affects Medicare Part B payments in 2024 by +/-9%.
In the proposed regulation, the CMS will move forward with a new participation pathway called MIPS Value Pathways (MVPs). The CMS proposed seven specific MVPs that align with certain clinical topics; however, the CMS will not implement these MVPs until the 2023 MIPS performance period.
The CMS is also soliciting feedback through a Request for Information (RFI) on health data collection to advance health equity for people with Medicare, through confidential reports that allow providers to review patient impact through data points-including, but not limited to, LGBTQ+, race and ethnicity, dual-eligible beneficiaries, disability, and rural populations. The CAP will be reviewing this closely.
The CAP will analyze the provisions of the proposed regulation in detail and submit comments during the agency’s 60-day comment period.