MIPS Value Pathways (MVPs) are reshaping how providers participate in CMS’s Merit-based Incentive Payment System. Introduced in 2023, MVPs bundle quality measures, improvement activities, and interoperability requirements into focused, specialty-based reporting tracks.

For the 2025 performance year, CMS will offer 21 MVPs. While traditional MIPS is still available, MVPs are clearly the direction CMS is moving.

If you are a provider or an EHRs supporting providers, now is the time to understand how MVPs work, how they differ from traditional MIPS, and how to prepare before the deadlines hit.

Note: This blog is part of our MIPS 2025 series, which covers all significant changes across categories: Key MIPS 2025 updates and how to approach Quality reporting, Promoting Interoperability Improvement Activities, and Cost Categories. Together, they help providers and EHRs prepare comprehensively for the evolving requirements.

Understanding MVPs: A More Connected Approach to MIPS Reporting

MVPs simplify MIPS by moving away from scattered measure selection. Each MVP is built around a clinical theme and combines:

• Quality measures tied to that specialty

• Relevant Improvement Activities

• Standard Promoting Interoperability measures

• A CMS-assigned Population Health measure

Instead of piecing together requirements, clinicians can follow their practice-specific pathway . This shift makes reporting more clinically meaningful and reduces administrative back-and-forth. By 2027, CMS expects most clinicians to transition to MVPs as the main reporting model.

Eligibility, Registration, and the 2025 Timeline

Any MIPS eligible clinician whose specialty aligns with one of the 21 MVPs can choose to report through that pathway. MVP reporting is allowed at the individual, group, or APM Entity level.

Registration is not optional. It is required to report via an MVP.

• Registration window: April 1 to November 30, 2025

• How to register: Submit details via the CMS QPP portal, including the chosen MVP and associated TINs and NPIs

• Missed deadline consequence: If you miss the registration window, you default to traditional MIPS for the performance year

This step is critical because, without registration, even if you collect appropriate data, CMS will not score it under the MVP model.

The Role of Providers and EHRs

For providers, MVPs are designed to better align reporting with their clinical specialty. Their direct role is limited to registering for the MVP, attesting to Improvement Activities, and reporting through their chosen mechanism. The real advantage for providers is that they spend time and effort only on measures relevant to their specialty.

On the technology side, certified EHR systems carry the heavier lift. They must:

• Capture the required clinical quality data accurately

• Maintain ASTP/ONC certification

• Support exports in the CMS-approved MVP submission format

While EHRs do not calculate CMS scores, they are central to capturing the measures and transmitting the data. Any gaps here can lead to incomplete reporting, directly affecting provider performance and payment adjustments.

How Darena Health Supports MVP and Traditional MIPS

If you work with EHRs or provider organizations exploring MVPs, Darena Health’s MyMipsScore platform is built to simplify the process. We support all MVPs available for reporting in 2025, along with traditional MIPS for specialties not yet covered by MVPs.

With MyMipsScore, you get:

• Measure calculation and performance tracking aligned with CMS scoring logic

• Guidance on MVP registration with clear timelines and reminders

• Data preparation and EHR integration so reporting is accurate and less burdensome

Whether you manage the reporting layer in-house or rely on us for compliance support, the goal stays the same: reduce complexity and minimize risk. Even if your systems are not yet fully MVP-ready, you can integrate with MyMipsScore for measure tracking and submission while continuing to enhance your internal tools.

Ready to simplify MVP reporting?

MVPs bring new rules, deadlines, and reporting logic, but you don’t have to navigate them alone. With MyMipsScore, EHRs and providers get the structure and support needed to stay compliant and perform with confidence.

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