- MIPS Value Pathways (MVPs)
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Medientsky’s shift to MIPS Value Pathways (MVPs) is critical to your practice’s financial future.Let us simplify the complexity. We provide strategic guidance to help you select the most relevant Value Pathway for your specialty and then optimize every measure to achieve your highest possible MVP score and maximum payment adjustment. Turn this regulatory change into a clear financial advantage for your practice.
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MVPS
What Are MIPS Value Pathways?
MIPS Value Pathways (MVPs) represent a fundamental transformation in how the Centers for Medicare & Medicaid Services (CMS) administers its Merit-based Incentive Payment System. This is not a minor update but a strategic redesign to create a more relevant, manageable, and clinically meaningful reporting experience.
While the Traditional MIPS framework presented clinicians with a broad, often overwhelming catalog of hundreds of quality measures and activities—many of which were irrelevant to specific specialties—MVPs intelligently streamline this process. CMS has reorganized the requirements into cohesive, specialty-focused bundles. Each MVP curates a specific set of related Quality Measures, Improvement Activities, and Cost Measures around a particular clinical condition, specialty, or patient population. For example, an oncology practice would follow the “Advancing Cancer Care” (MVP ID: M0001) pathway, while a cardiology group would use “Advancing Care for Heart Disease” (MVP ID: G0055). This ensures that the data you report and the benchmarks you are measured against directly reflect the actual care you provide to your patients.
Reduce Reporting Burden
Offer a smaller, more meaningful set of quality and relevant improvement activities
Increase Clinical Relevance
Ensure the reported data directly reflects the type of care a clinician provides.
Support Team-Based Care
Facilitate reporting for multispecialty groups using Subgroup Reporting.
Future-Proofing
MVPs are currently optional (for now),but CMS intends to eventually sunset Traditional MIPS, making MVPs the mandatory pathway for most MIPS-eligible clinicians near future.
Transition from Traditional MIPS to MVPs
CMS has signaled a clear and irreversible timeline for replacing Traditional MIPS with the MVP framework, making strategic adoption a necessity, not an option.
Traditional MIPS Sunset
Critical 2026 Deadline
Strategic Advantage
Security for Reimbursement
Key Dates for MVPs in 2024 and 2025
This table provides an overview of key dates and timelines related to MIPS Value Pathways (MVPs) for the 2024, 2025, and 2026 Performance Years (PYs). These dates might be changes by CMS, because CMS has revised certain deadlines and timelines for the 2023 and 2024 performance years.
| Month/Date | Performance Year (PY) | Event Description |
|---|---|---|
|
November 2024 |
PY 2024 |
2025 Medicare Physician Fee Schedule (PFS) Final Rule released with finalized MVPs for Performance Year (PY) 2025 |
|
December 31, 2024 |
PY 2024 |
Performance Year 2024 Ends. |
|
January 1, 2025 |
PY 2025 |
Performance Year 2025 Begins. |
|
Jan 2 – Mar 31, 2025 |
PY 2024 |
Data Submission Period for PY 2024. |
|
July 2025 |
PY 2025 |
2026 Medicare PFS Proposed Rule released with newly proposed MVPs and potential modifications to existing MVPs for PY 2026 |
|
November 2025 |
PY 2025 |
2026 Medicare PFS Final Rule released with finalized MVPs for PY 2026 |
|
December 31, 2025 |
PY 2025 |
Performance Year 2025 Ends. |
|
Jan 2 – Mar 31, 2026 |
PY 2025 |
Data Submission Period for PY 2025 performance data. |
|
EOBs & ERAs |
After 3 days |
Within 24 hours |
|
Firstpass Claim Payment |
Below 70% |
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MVP Participation Options
For the 2023, 2024, and 2025 performance years, MVPs are a voluntary reporting option available to the following participant types:
Individual Clinicians
A single MIPS-eligible clinician can register to report one MVP.
APM Entities
An entity participating in an Alternative Payment Model (APM) can also register to report an MVP.
Multispecialty Groups
A group with two or more specialty types can choose to report a single MVP for the entire group. However, the use of subgroups is highly recommended for these groups to allow for more clinically relevant reporting.
Subgroups
A subset of clinicians within a single TIN that contains at least one MIPS-eligible clinician. This option allows multispecialty practices to report different, more relevant MVPs based on the specialty or condition focus of that subset of clinicians. Subgroup reporting is voluntary for 2025 but is limited to clinicians reporting through MVPs or the APM Performance Pathway (APP).
Single-Specialty Groups
A group of clinicians under the same “Taxpayer Identification Number” (TIN) that consists of only one specialty type can register to report one MVP for all its members.
Possible Key Future Change (Starting 2026)
Starting with the 2026 performance year, multispecialty groups that choose to report MVPs will be required to form subgroups or report as individuals. They will no longer have the option to report a single MVP at the full group level.
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MVP Participation Options
The MIPS Value Pathways (MVPs) framework uses the same four foundational Performance Categories as Traditional MIPS, but it fundamentally changes the measures and reporting requirements within them to make reporting more cohesive and relevant to a specific specialty or condition.
Quality
- Reduced Measure Count: Instead of selecting 6 measures in Traditional MIPS, MVP participants report 4 quality measures specific to their chosen MVP, including 1 outcome measure (or high-priority measure if an outcome measure is unavailable).
Promoting Interoperability (PI)
- MVP-Agnostic:The requirements remain the same as Traditional MIPS (report the full measure set for a continuous 180-day period) unless the participant qualifies for automatic reweighting (e.g., small practice, non-patient facing).
Cost
- Specialty-Specific Focus: No data submission is required. CMS automatically calculates the score using MVP-specific episode-based and population-based Cost measures that are relevant to the selected MVP.
Foundational Layer
- Population Health Measures: MVPs include a foundational layer that consists of two claims-based population health measures. CMS will automatically evaluate and apply the highest-scoring population health measure to the participant's Quality score. Participants don’t have to select one during registration.
FAQS
Frequently Asked Questions
Think of an MVP as a custom, specialty-specific reporting checklist. Instead of choosing from hundreds of unrelated measures, MVPs bundle the right quality, cost, and improvement activities for your field (like oncology or cardiology). The main benefits are a lighter reporting burden, more relevant measures, and a head start on the system that will eventually replace Traditional MIPS.
No. For 2025, MVPs are a voluntary alternative to Traditional MIPS. It’s your choice which framework to use.
You have full flexibility. You can change or cancel your MVP registration at any time during the open registration window (April 1 to December 1, 2025) without penalty.
You must register for your chosen MVP between April 1 and December 1, 2025. We recommend registering early to allow more time for preparation.
Yes, you can submit data for both in the same year. Medicare will automatically apply the higher of your two final scores to determine your payment adjustment, giving you a helpful safety net.
The framework is designed to be flexible. It’s available to individual clinicians, single-specialty groups, multispecialty groups, and APM entities.
You will report 4 quality measures that are specific to your chosen MVP, a reduction from the 6 required in Traditional MIPS.
This is an automatic bonus feature of MVPs. It includes “Population Health Measures” that Medicare calculates for you behind the scenes using claims data. They will apply the highest-scoring one to boost your final quality score—with no extra work on your part.