Specifically, beginning with the CY 2024 performance period/2026 MIPS payment year, we are proposing that we may reweight one or more of the quality, improvement activities, and Promoting Interoperability performance categories where we determine, based on documentation submitted to us through a reweighting request on or before November 1st of the year preceding the relevant MIPS payment year, that data for a MIPS eligible clinician are inaccessible or unable to be submitted due to circumstances outside of the control of the clinician because the MIPS eligible clinician delegated submission of their data to a third party intermediary, evidenced by a written agreement between the MIPS eligible clinician and the third party intermediary, and the third party intermediary did not submit the data for the performance category(ies) on behalf of the MIPS eligible clinician in accordance with applicable deadlines
Reweighting a performance category, for example, would mean that the quality performance category or cost performance category could be reweighted in an MVP, and this would not support performance measurement to drive value or provide comparable information for patient use in selecting clinicians or care teams
At this time, CMS is not proposing this alternative as CMS believes that relying upon existing manufacturer reporting of unit sales reported with AMP under the MDRP would be preferable to a new reporting option and would help minimize reporting burden
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