What’s New in MIPS for 2025: Key Changes and How They Affect You
- Michael Sullivan
- Jan 28
- 2 min read
With the 2025 MIPS Final Rule, CMS introduces changes designed to refine the program and emphasize value-based care. Whether you’re a seasoned participant or new to MIPS, understanding these updates is critical to achieving success. Here’s a detailed breakdown of the key changes and how they might affect your practice.
1. Expanded MIPS Value Pathways (MVPs)
MVPs are gaining traction as the preferred reporting mechanism, with six new pathways added for 2025. This brings the total to more than 15, covering specialties like dermatology, cardiology, and orthopedic care.
Key Features of MVPs:
Specialty Focused: MVPs align measures with clinical priorities, such as skin cancer prevention for dermatology or hypertension control for cardiology.
Simplified Reporting: By grouping related measures across Quality, Cost, and IA categories, MVPs reduce the burden of measure selection.
What This Means for You:
If your specialty has an MVP, transitioning could simplify your reporting.
MVP participants must register their intent by November 30, 2025.
2. Higher Performance Threshold
The performance threshold for avoiding penalties remains at 75 points for 2025. However, achieving this score requires careful planning:
Quality: Ensure you meet the 75% data completeness requirement for each measure.
PI: Focus on interoperability and patient engagement measures.
Cost: Use CMS feedback reports to identify opportunities for cost reduction.
3. Updated Promoting Interoperability (PI) Measures
CMS continues to refine PI requirements to emphasize data exchange and patient access:
Key PI Measures: e-Prescribing, Health Information Exchange (HIE), and patient access through CEHRT.
Streamlining: Some redundant measures have been removed to simplify reporting.
Pro Tip: Apply for a hardship exemption if your practice faces CEHRT-related challenges.
The 2025 MIPS updates provide opportunities to streamline reporting and align with specialty care. Understanding these changes is critical for maintaining compliance and maximizing your score. Need help navigating these updates? Contact a MIPS consultant to ensure your practice is prepared for success.
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