MIPS Value Pathways (MVPs) in 2026
MVPs are the future of MIPS. Traditional MIPS ends in 2029.
MIPS Value Pathways cut the reporting load, but for now they still score you against the national pool. CMS has proposed MVP-specific benchmarking; that is not how scoring works today. Watch this closely: MVPs become required in performance year 2029, and they are the template for mandatory value-based care.
The Transition
Traditional MIPS ends with the 2029 performance year. MVP becomes required.
Reporting is optional; early adopters build a scoring history while the stakes are still low
Multispecialty groups reporting MVPs must report by subgroup. CMS has proposed MVP-specific benchmarking; national benchmarks still apply today
Mandatory specialty models start for cardiology and low back pain. Registries must fully support applicable MVPs
Traditional MIPS ends. MVP reporting becomes required starting with the 2029 performance year
The Benchmark Reality
CMS wants specialty peer scoring. That is not how MVPs work yet.
The promise of an MVP is that a spine surgeon should be scored against spine surgeons. Today, that is not the case. MVP reporters still face national benchmarks by default, which is why many pathways look less attractive than the brochure suggests. CMS has proposed MVP-specific benchmarking; until that lands, the comparison pool is still everyone else.
MVPs use national benchmarks. Fewer measures, same comparison pool as traditional MIPS.
Proposed MVP-specific benchmarking, then mandatory MVP reporting when traditional MIPS ends in 2029.
What Changes
MVPs cut the reporting and raise the accountability.
The catch: MVPs include population health measures you can't manage through documentation alone. They're scored on outcomes, which means you need to know where your high-cost patients are before CMS does.
What We Do
Both frameworks, side by side, in dollars.
Run both scores at once
We process your data through traditional MIPS and the MVP framework simultaneously. You see both scores, and what each is worth, before you pick a path.
Report by subgroup
For multispecialty groups, we report each specialty as its own subgroup. One department’s score stops setting everyone’s payment.
Registry-ready, already
Starting with the 2027 performance year, CMS requires registries to fully support the MVPs their clinicians report. Ours already does.
See your MVP score before you commit to it.
We'll run your current QPP data through the MVP framework and show you what changes, in points and in dollars.
Run the comparisonWhat MVPs replace, and where they lead
MIPS Reporting & Strategy
The full four-category picture, and what each point of it is worth.
Learn about MIPS →Ambulatory Specialty Model
Where the MVP framework leads: mandatory participation for six specialties, starting January 2027.
Learn about ASM →MIPS Cost Category
The population health outcomes MVPs score you on start with knowing your episode costs.
Learn about Cost →