Part II: The Scheduled Death of Traditional MIPS: How the CY27 Proposed Rule’s MVP Mandate, Core Measure Trapdoor, QP Threshold Seesaw & FHIR Reporting Clock Reshuffle the Entire Quality Vendor Market

Traditional MIPS has a death date. CY 2029 is the cutoff. MVPs become the only reporting option for non-APM clinicians after 2028. Three performance years to rebuild.

93% of MIPS reporters earned a positive adjustment in 2017-2019. The largest was 1.88%. Everyone passed, nobody got paid, every practice paid real overhead to get there.

The new core measure…