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MVP: Advancing Cancer Care

Most applicable medical specialties: Oncology, hematology

The Advancing Cancer Care MVP focuses on the clinical theme of providing fundamental treatment and management of cancer care. The measures assess three critical areas: the patient experience of care, end of life care, and appropriate diagnostics along with possible treatment options for different cancer diagnoses.


To fulfill quality requirements:

  1. You must select 4 quality measures from the list below
    (exception for clinicians in a small practice – see # 3 below)
  2. At least 1 measure must be an outcome measure
    • If no outcome measures are available, you may report a high priority measure.
  3. If you are part of a small practice (i.e., 15 or fewer clinicians) reporting quality measures through Medicare Part B claims, you don’t need to report additional measures beyond the Medicare Part B claims measures available in this MVP. Reporting all of the Medicare Part B claims measures in this MVP will fulfill your quality reporting requirements.
  4. You must collect data for each measure for the 12-month performance period of the associated performance year
    (e.g., January 1, 2024 – December 31, 2024).

TIP: For small practices (participating at the individual, group or subgroup level) reporting Medicare Part B claims measures: To meet data completeness requirements, you’ll need to start reporting the Medicare Part B claims measures in your selected MVP in January 2024, prior to the MVP registration period.

TIP: Make sure that you select measures that are appropriate to your patient population. Measures that don’t meet
case minimum or data completeness criteria will earn zero points.

Quality Measures (MVP ID: M0001)

047Advance Care Plan Details
134Preventive Care and Screening: Screening for Depression and Follow-Up Plan   Details
143Oncology: Medical and Radiation –
Pain Intensity Quantified
144Oncology: Medical and Radiation –
Plan of Care for Pain
321*CAHPS for MIPS  
Clinician/Group Survey
450Appropriate Treatment for Patients with Stage I (T1c) – III HER2 Positive Breast Cancer Details
451RAS (KRAS and NRAS) Gene Mutation Testing Performed for Patients with Metastatic Colorectal Cancer who receive Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibody TherapyDetails
452Patients with Metastatic Colorectal Cancer and RAS (KRAS or NRAS) Gene Mutation Spared Treatment with Anti-epidermal Growth Factor Receptor (EGFR) Monoclonal Antibodies Details
453Percentage of Patients Who Died from Cancer Receiving Systemic Cancer-Directed Therapy in the Last 14 Days of Life (lower score – better) Details
457Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (lower score – better) Details
462Bone Density Evaluation for Patients with Prostate Cancer and Receiving Androgen Deprivation TherapyDetails
487Screening for Social Drivers of HealthDetails
490Appropriate Intervention of Immune-Related Diarrhea and/or Colitis in Patients Treated with Immune Checkpoint InhibitorsDetails
503Gains in Patient Activation Measure (PAM) Scores at 12 MonthsDetails
PIMSH2*Oncology: Utilization of GCSF
in Metastatic Colorectal Cancer
Not supported by MIPSpro*
PIMSH13*Oncology: Mutation Testing for Stage IV Lung Cancer Completed Prior to the Start of Targeted TherapyNot supported by MIPSpro*

Improvement Activities

You must report 1 of the following 3 options:

1. Two medium weighted improvement activities from the list below, or

2. One high weighted improvement activity from the list below, or

3. The IA_PCMH activity (participation in a certified or recognized patient-centered medical home or a comparable specialty practice).

Improvement Activities (MVP ID: M0001)

IA_BE_4Engagement of patients through implementation of improvements in patient portal
IA_BE_6Regularly Assess Patient Experience of Care and Follow Up on Findings
IA_BE_15Engagement of Patients, Family, and Caregivers in Developing a Plan of Care
IA_BE_24Financial Navigation Program
 IA_BMH_12Promoting Clinician Well-Being
IA_CC_1Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop
IA_CC_13Practice Improvements to Align with OpenNotes Principles
IA_CC_17Patient Navigator Program
IA_EPA_1Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient’s Medical Record
IA_EPA_2Use of telehealth services that expand practice access
 IA_ERP_4Implementation of a Personal Protective Equipment (PPE) Plan
 IA_MVPPractice-Wide Quality Improvement in MIPS Value Pathways
IA_PCMHElectronic Submission of Patient Centered Medical Home accreditation
IA_PM_14Implementation of methodologies for improvements in longitudinal care management for high risk patients
IA_PM_15Implementation of episodic care management practice improvements
IA_PM_16Implementation of medication management practice improvements
IA_PM_21Advance Care Planning
IA_PSPA_16Use of decision support and standardized treatment protocols
 IA_PSPA_28Completion of an Accredited Safety or Quality Improvement Program


Important information to consider:

  1. You don’t have to submit any data for this performance category. We’ll use Medicare claims data to
    calculate your cost measure performance.

    (You don’t select cost measures during MVP registration. CMS will calculate your performance
    on all the cost measures included in the MVP based on available Medicare claims data.)
  2. You’ll only be scored on the cost measures in this MVP for which you meet or exceed the established
    case minimum.

Cost Measures (MVP ID: M0001)

TPCC_1Total Per Capita Cost (TPCC)Details

Foundational Layer – Promoting Interoperability

To fulfill Promoting Interoperability requirements:

  1. Submit the required Promoting Interoperability measures (the same as under traditional MIPS) listed below. Bonus points are available for reporting measures that aren’t required.
    • If you’re reporting as a subgroup, you’ll submit your affiliated group’s data for the Promoting Interoperability performance category.
  2. Review if you qualify for automatic reweighting of the Promoting Interoperability performance category based on your clinician type, special status, or an approved Promoting Interoperability Performance Category Hardship Exception Application.

Clinician Types for Automatic Reweighting:

  • Clinical social worker

Special Status for Automatic Reweighting:

  • Ambulatory Surgical Center (ASC)-based
  • Hospital-based
  • Non-patient facing
  • Small practice

Promoting Interoperability Performance Category Hardship Exception Qualifications:

  • Decertified EHR technology
  • Insufficient internet connectivity
  • Experience extreme and uncontrollable circumstances (e.g., disaster, practice closure, severe financial distress, vendor issues)
  • Lack control over availability of CEHRT (Certified Electronic Health Record Technology)

Note: Promoting Interoperability requirements are the same in MVPs as they are in traditional MIPS. Learn more about Promoting Interoperability requirements.

Promoting Interoperability Measures (All MVPs)

PI_EP_2Query of the Prescription Drug Monitoring Program (PDMP)
PI_EP_2_EX_1Query of the Prescription Drug Monitoring Program (PDMP) Exclusion
PI_EP_2_EX_2Query of the Prescription Drug Monitoring Program (PDMP) Exclusion
PI_HEI_1Support Electronic Referral Loops By Sending Health Information
PI_HEI_4Support Electronic Referral Loops By Receiving and Reconciling Health Information
PI_HEI_5Health Information Exchange (HIE) Bi-Directional Exchange
PI_HEI_6Enabling Exchange Under TEFCA
 PI_LVITC_2Support Electronic Referral Loops By Receiving and Reconciling Health Information Exclusion
 PI_LVOTC_1Support Electronic Referral Loops By Sending Health Information Exclusion
 PI_LVPP_1e-Prescribing Exclusion
PI_ONCACB_1ONC-ACB Surveillance Attestation
PI_ONCDIR_1ONC Direct Review Attestation
PI_PEA_1Provide Patients Electronic Access to Their Health Information
PI_PHCDRR_1Immunization Registry Reporting
PI_PHCDRR_2Syndromic Surveillance Reporting
PI_PHCDRR_3Electronic Case Reporting
PI_PHCDRR_4Public Health Registry Reporting
PI_PHCDRR_5Clinical Data Registry Reporting
PI_PPHI_1Security Risk Analysis
PI_PPHI_2High Priority Practices Guide of the Safety Assurance Factors for EHR Resilience (SAFER) Guides
PI_INFBLO_1Actions to Limit or Restrict the Compatibility of CEHRT

Foundational Layer – Population Health

You must select 1 population health measure at the time of MVP registration.

  • You don’t have to submit any data for this measure, CMS will calculate the population health measures for you using administrative claims data.
  • This measure will be excluded from scoring if the measure doesn’t have a benchmark or meet the case minimum.
  • Population health isn’t a new performance category. The population health measure you select during MVP registration will be scored as part of the quality performance category provided you meet the case minimum.
  • Subgroups will be evaluated at the affiliated group level.

Improvement Activities (All MVPs)

479 Hospital-Wide, 30-Day, All-Cause Unplanned Readmission (HWR)
Rate for the Merit-Based Incentive Payment System (MIPS) Groups
484 Clinician and Clinician Group Risk-standardized Hospital Admission Rates for Patients with Multiple Chronic ConditionsDetails

Begin your MVP journey today