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We propose expanding upon current Shared Savings Program regulations to broaden the existing exception to the program's voluntary alignment policy, which would allow the exception to apply to beneficiaries assigned to entities in a CMS Innovation Center model under which claims-based assignment is based solely on (1) claims for primary care and/or other services related to treatment of one or more specific diseases or conditions targeted by the model, or (2) claims for services other than primary care services, and for which there has been a determination by the Secretary that waiver of the requirement in section 1899(c)(2)(B) of the Act is necessary for purposes of testing the model

Under this proposed reweighting policy, the MIPS eligible clinician must submit reweighting requests beginning with the close of a relevant performance period's data submission period, only after it is confirmed that no data has been submitted in accordance with applicable deadlines

In section III.M

Additionally, we are proposing to adopt a new cost measure exclusion policy beginning with the CY 2025 performance period/2027 MIPS payment year

Lets break it down

In Table 104, we illustrate the net change in burden for MVP registration using the currently approved burden in the CY 2024 PFS final rule (88 FR 79443 and 79444)