--- title: QPP changes arrive, as later reporting, payment hassles loom description: In a recent issue of Part B News, Healthmonix's Lauren Patrick discussed MIPS Value Pathways as part of changes announced in the 2023 PFS Final Rule. image: https://blog.healthmonix.com/hubfs/image-png-4.png --- [![Healthmonix logo](https://blog.healthmonix.com/hs-fs/hubfs/Primary%20logo%20%E2%80%94%20PNG-1.png?width=720&height=136&name=Primary%20logo%20%E2%80%94%20PNG-1.png "Healthmonix logo")](https://healthmonix.com/) - Solutions - [MIPSpro](https://healthmonix.com/mips-pro/) - [Qualified Clinical Data Registries](https://healthmonix.com/qcdrs-and-specialty-measures/) - [MIPS Cost Analytics](https://healthmonix.com/mips-cost-analytics/) - [APP Impact](https://healthmonix.com/app-impact) - [LMS](https://healthmonix.com/solutions/learning-solutions/) - MIPS - [For Hospital & Health Systems](https://healthmonix.com/hospitals-health-systems/) - [For EHRs](https://healthmonix.com/mips-reporting-for-ehr/) - [For Consultants](https://healthmonix.com/partnerships-with-healthmonix-consultants/) - [Qualified Clinical Data Registries](https://healthmonix.com/qcdrs-and-specialty-measures/) - APMs - [APM Performance Pathway (APP)](https://healthmonix.com/app-impact/) - [For ACOs](https://healthmonix.com/acos) - [Blogs](https://blog.healthmonix.com/) - Webinars - [MIPS Webinars and Downloads](https://healthmonix.com/mips-webinars-and-downloads/#) - [MIPS Cost Analytics Webinars and Downloads](https://healthmonix.com/mips-cost-analytics-webinars-and-downloads/) - [APM Performance Pathway Webinars and Downloads](https://healthmonix.com/apm-performance-pathway-webinars-and-downloads/) - About Us - Our Mission - [Leadership Team](https://healthmonix.com/leadership-team/) - [Newsroom](https://healthmonix.com/newsroom) - [Careers](https://healthmonix.com/careers/) - [COVID-19](https://healthmonix.com/latest-updates-and-resources-on-covid-19/) - [Contact Us](https://healthmonix.com/contact-us/) Healthmonix Media Coverage # QPP changes arrive, as later reporting, payment hassles loom Posted by [Healthmonix](https://blog.healthmonix.com/media-coverage/author/healthmonix) on Jan 23, 2023 3:00:51 PM - [Tweet](https://twitter.com/share) by Ron Edroso Take stock of a series of annual updates to the Quality Payment Program (QPP) and Merit-based incentive Payment System (MIPS) to succeed in 2023, but watch carefully as CMS prepares for a whole new MlPS paradigm and, for alternative payment model (APM) participants, a possible year without bonuses down the road.  ![Changes to the QPP in 2023 - MIPS Value Pathways](https://blog.healthmonix.com/hubfs/image-png-4.png) The 2023 numbers are no surprise: As proposed, the MlPS category weights will be 30% for Quality, 30% for Cost, 15% for Improvement Activities and 25% for Promoting Interoperability. The data completeness threshold rises from 70% to 75%, and the performance threshold remains 75 points. CMS finalized all its earlier proposed weights.  The most MIPS reporters can be penalized for missing these targets is 9% of payments, while the amount of the positive adjustment for meeting the reporting targets will be based on how many positive reporters are in the program - given the near-100% positive reporting rate in the program, positive adjust­ments are likely to be a very small amount. As for the additional positive payment adjustment for "exceptional performance,'' that is phased out starting in 2023.  A deeper look at the measures  Nine of the proposed new Quality measures were finalized, including ''Improvement in Patient-Reported Itch Severity" for psoriasis and dermatitis patients;  "Screening for Social Drivers of Health"; and "Adult lmmunization Status." The agency cut 11 measures, including "Biopsy Follow-Up" and "Leg Pain After Lumbar Fusion," making the final tally 198 measures, down from 200.  In 2023, the Cost category score will be calculated by CMS based on achievement and a year-to -year improvement in the '·Total Per Capita Cost (TPCC)" and "Medicare Spending Per Beneficiary (MSPB) Clinician" measures. (Previously, CMS notes, all participants received a score of zero ''because we didn't calculate cost measure scores for the 2021 performance period" to base improvement on.) The maximum improvement score will be 1 percentage point out of 100 percentage points available.  [Read more](https://blog.healthmonix.com/hubfs/PartBNews_QPPChanges.pdf) Topics: [MIPS Value Pathways](https://blog.healthmonix.com/media-coverage/topic/mips-value-pathways), [2023 PFS Final Rule](https://blog.healthmonix.com/media-coverage/topic/2023-pfs-final-rule) ### Search Healthmonix Media Coverage - [MACRA & MIPS (11)](https://blog.healthmonix.com/media-coverage/tag/macra-mips) - [CMS (6)](https://blog.healthmonix.com/media-coverage/tag/cms) - [Quality Reporting (6)](https://blog.healthmonix.com/media-coverage/tag/quality-reporting) - [MarCom Strategies and Insights (5)](https://blog.healthmonix.com/media-coverage/tag/marcom-strategies-and-insights) - [COVID-19 (3)](https://blog.healthmonix.com/media-coverage/tag/covid-19) - [Hospitals & Health Systems (3)](https://blog.healthmonix.com/media-coverage/tag/hospitals-health-systems) - [MIPS Value Pathways (3)](https://blog.healthmonix.com/media-coverage/tag/mips-value-pathways) - [2021 PFS Proposed Rule (2)](https://blog.healthmonix.com/media-coverage/tag/2021-pfs-proposed-rule) - [ACO Reach (2)](https://blog.healthmonix.com/media-coverage/tag/aco-reach) - [ACOs (2)](https://blog.healthmonix.com/media-coverage/tag/acos) - [APM Performance Pathway (2)](https://blog.healthmonix.com/media-coverage/tag/apm-performance-pathway) - [Health IT (2)](https://blog.healthmonix.com/media-coverage/tag/health-it) - [Health equity (2)](https://blog.healthmonix.com/media-coverage/tag/health-equity) - [Healthmonix (2)](https://blog.healthmonix.com/media-coverage/tag/healthmonix) - [Public Relations (2)](https://blog.healthmonix.com/media-coverage/tag/public-relations) - [QCDR (2)](https://blog.healthmonix.com/media-coverage/tag/qcdr) - [sales (2)](https://blog.healthmonix.com/media-coverage/tag/sales) - [2022 PFS Final Rule (1)](https://blog.healthmonix.com/media-coverage/tag/2022-pfs-final-rule) - [2023 PFS Final Rule (1)](https://blog.healthmonix.com/media-coverage/tag/2023-pfs-final-rule) - [2023 PFS Proposed Rule (1)](https://blog.healthmonix.com/media-coverage/tag/2023-pfs-proposed-rule) - [Branding (1)](https://blog.healthmonix.com/media-coverage/tag/branding) - [Cost Performance Category (1)](https://blog.healthmonix.com/media-coverage/tag/cost-performance-category) - [Customer Success (1)](https://blog.healthmonix.com/media-coverage/tag/customer-success) - [Email Click Rates (1)](https://blog.healthmonix.com/media-coverage/tag/email-click-rates) - [Industry insights (1)](https://blog.healthmonix.com/media-coverage/tag/industry-insights) - [Mental and Behavioral Health (1)](https://blog.healthmonix.com/media-coverage/tag/mental-and-behavioral-health) - [Telehealth (1)](https://blog.healthmonix.com/media-coverage/tag/telehealth) - [company culture (1)](https://blog.healthmonix.com/media-coverage/tag/company-culture) - [e-commerce (1)](https://blog.healthmonix.com/media-coverage/tag/e-commerce) - [social issues (1)](https://blog.healthmonix.com/media-coverage/tag/social-issues) see all Search ### Recent Posts ### Contact Us [![Powered by Healthmonix](https://blog.healthmonix.com/hubfs/Healthmonix_Jul2016/Layout/logo-headermain.png)](https://healthmonix.com/about-healthmonix/) [Healthmonix 72 E. 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