MVP: MIPS Value Pathways
MIPS Value Pathways are specialty-focused, condition-focused alternative reporting tracks within MIPS. MVPs bundle a smaller, clinically aligned set of quality, cost, IA, and PI measures rather than the full MIPS catalog.
What is an MVP?
MIPS Value Pathways were introduced in the 2023 performance year as a specialty-aligned alternative to traditional MIPS reporting. Each MVP groups a smaller set of quality measures, cost measures, improvement activities, and Promoting Interoperability requirements around a specific clinical condition or specialty (e.g., Advancing Care for Heart Disease, Coordinating Stroke Care, Optimizing Chronic Disease Management, Patient-Centered Surgical Care).
How MVPs differ from traditional MIPS
- Measure selection — MVPs include a curated subset of measures; traditional MIPS lets the clinician choose any 6 quality measures.
- Population health — MVPs add a population health measure layered on top of the four standard categories.
- Foundational layer — MVPs share a common Promoting Interoperability and population health foundation across all pathways.
- Per-year selection — clinicians choose MVP vs traditional MIPS at the start of each performance year. Switching mid-year isn't allowed.
Who benefits most from MVP
Specialty practices that historically struggled with traditional MIPS measure selection (orthopedics, gastroenterology, dermatology, cardiology subspecialties) typically benefit from MVPs. The condition-focused measure set is more likely to map to what the practice actually does. Primary care groups managing complex chronic disease populations also tend to find MVPs more reportable.
2026 MVP set
The 2026 final rule adds new specialty MVPs and clarifies eligibility logic. The MVP catalog continues to expand annually; CMS's long-term direction is to make MVPs the default reporting pathway over time.
Where Vizier fits
Vizier supports MVP reporting alongside traditional MIPS. The MVP selection is configured at the start of the performance year; the dashboard then tracks the appropriate measure set, surface gaps, and projects the year-end composite under the chosen pathway. If you're considering MVP for the 2026 year, Vizier can model expected score under both paths from your historical EHR data so the choice is data-driven, not a guess.