CY 2025 Medicare Physician Fee Schedule Final Rule

This document is a fact sheet detailing the CY 2025 Medicare Physician Fee Schedule (PFS) Final Rule, focusing on the Quality Payment Program (QPP). It outlines the ongoing development of Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) and the introduction of the Alternative Payment Model (APM) Performance Pathway (APP) Plus quality measure set. The finalized policies aim to maintain stability within the MIPS program, including the performance threshold and data completeness criteria. The document presents updates on the MIPS measure/activity inventories and scoring methodologies, including the addition and removal of quality measures. It also discusses the APP Plus quality measure set, which will be mandatory for Shared Savings Program Accountable Care Organizations (ACOs) starting in performance year 2025. The fact sheet includes a comparison table of current and finalized policies, as well as appendices detailing previously finalized policies and quality measures. Overall, it serves as a comprehensive guide to the changes and updates in the Medicare PFS for 2025.