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Quality Metrics & MIPS

Expert articles and analysis related to quality metrics & mips.

197 articlesLast 30 Days

AI Summary — Last 30 Days

CMS is using the CY 2027 Physician Fee Schedule to tighten the connection between MSSP economics, Quality Payment Program/MIPS policy, and digital quality infrastructure—proposing material MSSP benchmark and shared-savings changes while laying out a 2027–2030 path toward FHIR-based digital quality measurement for ACOs. For VBC leaders, the strategic issue is no longer just measure performance but operating readiness: actuarial forecasting, data liquidity, EHR/FHIR capabilities, and specialty/primary-care alignment will increasingly determine whether ACOs can preserve savings and avoid quality-payment downside under the evolving MSSP and QPP frameworks. The near-term opportunity is stronger primary care and home-based care integration, but the tension is sharper financial uncertainty from physician payment cuts and changing MSSP rules, as summarized by Wakely’s analysis of CY 2027 MSSP proposed changes and its warning that digital quality reporting is now on a defined timeline.

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