--- title: Practice Support Services | Medicare advantage description: Medicare advantage | Health care practices in North Carolina face many challenges. Our quality improvement coaches (QICs) are trained to work with you to transform the way in which care is delivered in your practice. --- [![nwahec.png](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png?width=2025&height=300&name=WFUSM_NWAHEC%20Cobranding%20Logo_H_RGB.png "nwahec.png")](https://go.northwestahec.wakehealth.edu/) - [Home](https://go.northwestahec.wakehealth.edu) - [What's New at NWAHEC Blog](https://go.northwestahec.wakehealth.edu/blog) - [NWAHEC Staff](https://go.northwestahec.wakehealth.edu/staff) - [Practice Support Updates](https://go.northwestahec.wakehealth.edu/practicesupport) # Practice Support Update Blog ## [QPP Newsletter Updates](https://go.northwestahec.wakehealth.edu/practicesupport/qpp-newsletter-updates) Jul 16, 2025, 9:30:00 AM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [quality payment program](https://go.northwestahec.wakehealth.edu/practicesupport/topic/quality-payment-program), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [CMS](https://go.northwestahec.wakehealth.edu/practicesupport/topic/cms), [Medicare advantage](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare-advantage) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/qpp-newsletter-updates#comments-listing) *Today we bring you updates from the latest CMS QPP Newsletter for Small Practices:* CMS Proposes Policy Changes for Quality Payment Program The Centers for Medicare & Medicaid Services (CMS) has issued its [Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule](https://www.federalregister.gov/public-inspection/2025-13271/medicare-and-medicaid-programs-calendar-year-2026-payment-policies-under-the-physician-fee-schedule), which includes proposed policies for the Quality Payment Program (QPP). The Notice of Proposed Rulemaking (NPRM) includes proposals for the Merit-based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs), as well as several Requests for Information (RFIs). Specifically, we’re proposing policies that: - Continue the transformation of MIPS through MIPS Value Pathways (MVPs). - Are responsive to feedback and concerns raised by interested parties. - Maintain stability within the MIPS program through the established performance threshold. # 2026 Policy Proposal Highlights Key QPP policies that we are proposing in the CY 2026 PFS Proposed Rule include: - Introducing 6 new MVPs for the 2026 performance year that are related to diagnostic radiology, interventional radiology, neuropsychology, pathology, podiatry, and vascular surgery. - Introducing a 2-year informational-only feedback period for new cost measures, allowing clinicians to receive feedback on their score(s) and find opportunities to improve performance before a new cost measure affects their MIPS final score. - Maintaining the current performance threshold policies, leaving the performance threshold set at 75 points through the 2028 performance year. - Introducing Qualifying APM Participant (QP) determinations at the individual level, in addition to existing determinations at the APM entity level. # Overview of RFIs We are also seeking feedback on RFIs about the following topics: - Establishing Core Elements for MVPs, to require reporting on key quality measures within each MVP. - Establishing a process to assign clinicians to an MVP, to facilitate the most relevant reporting for their scope of care. - Transitioning to FHIR-based electronic clinical quality measure (eCQM) reporting in quality reporting programs. - Understanding the current environment, including challenges, with collecting and exchanging high-quality healthcare data. - Changing requirements for the Query of Prescription Drug Monitoring Program (PDMP) Measure and Performance-Based Measures in the Public Health and Clinical Data Exchange Objective. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/qpp-newsletter-updates) ## [Opioid Use Disorder Screening and Treatment](https://go.northwestahec.wakehealth.edu/practicesupport/opioid-use-disorder-screening-and-treatment) May 14, 2024, 1:12:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [medicare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare), [screening](https://go.northwestahec.wakehealth.edu/practicesupport/topic/screening), [opioid use disorder](https://go.northwestahec.wakehealth.edu/practicesupport/topic/opioid-use-disorder), [Medicare advantage](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare-advantage) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/opioid-use-disorder-screening-and-treatment#comments-listing) ![Human male face made of several different people, artistic concept vertical collage](https://go.northwestahec.wakehealth.edu/hs-fs/hubfs/Human%20male%20face%20made%20of%20several%20different%20people%2c%20artistic%20concept%20vertical%20collage.jpeg?width=300&height=237&name=Human%20male%20face%20made%20of%20several%20different%20people%2c%20artistic%20concept%20vertical%20collage.jpeg) Medicare pays for opioid use disorder (OUD) screenings performed by physicians and non-physician practitioners.  If you diagnose your patient with OUD, they also pay for treatment services. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/opioid-use-disorder-screening-and-treatment) ## [Making Care Primary](https://go.northwestahec.wakehealth.edu/practicesupport/making-care-primary-1) Aug 16, 2023, 3:15:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [Primary Care](https://go.northwestahec.wakehealth.edu/practicesupport/topic/primary-care), [practice management](https://go.northwestahec.wakehealth.edu/practicesupport/topic/practice-management), [Medicare advantage](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare-advantage) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/making-care-primary-1#comments-listing) The Making Care Primary (MCP) Model is a 10.5 year multi-payer model with three participation tracks. MCP aims to improve care for beneficiaries by supporting the delivery of advanced primary care services.  [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/making-care-primary-1) ## [HHS Releases Initial Guidance for Medicare Prescription Drug Inflation Rebate Program](https://go.northwestahec.wakehealth.edu/practicesupport/hhs-releases-initial-guidance-for-medicare-prescription-drug-inflation-rebate-program) Feb 14, 2023, 2:30:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [medicare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare), [prescriptions](https://go.northwestahec.wakehealth.edu/practicesupport/topic/prescriptions), [Medicare advantage](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare-advantage) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/hhs-releases-initial-guidance-for-medicare-prescription-drug-inflation-rebate-program#comments-listing) *Under President Biden’s prescription drug law, drug companies will pay rebates to the federal government for raising prescription drug prices faster than the rate of inflation* [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/hhs-releases-initial-guidance-for-medicare-prescription-drug-inflation-rebate-program) ## [CMS wants to hear from you!](https://go.northwestahec.wakehealth.edu/practicesupport/cms-wants-to-hear-from-you) Aug 2, 2022, 2:09:00 PM / by [Practice Support Team](https://go.northwestahec.wakehealth.edu/practicesupport/author/practice-support-team) posted in [medicare](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare), [Medicare advantage](https://go.northwestahec.wakehealth.edu/practicesupport/topic/medicare-advantage) [0 Comments](https://go.northwestahec.wakehealth.edu/practicesupport/cms-wants-to-hear-from-you#comments-listing) The Centers for Medicare & Medicaid Services (CMS) released a Request for Information seeking public comment on the Medicare Advantage program. [Read More](https://go.northwestahec.wakehealth.edu/practicesupport/cms-wants-to-hear-from-you) [All posts](https://go.northwestahec.wakehealth.edu/practicesupport/all) This is a search field with an auto-suggest feature attached. - There are no suggestions because the search field is empty. ### Practice Support Services Health care practices in North Carolina face many challenges. Our team of quality improvement coaches (QICs) have skills and expertise to support you in your transformation efforts. To learn more about [Practice Support Click Here](https://school.wakehealth.edu/Education-and-Training/Continuing-Professional-Education/Northwest-AHEC/Practice-Support-Services) Apply for practice support services - **[submit an email inquiry](mailto:practicesupport@ncahec.net)** ### Subscribe to Blog Updates ### Additional Resources: [![Tip Sheets](https://no-cache.hubspot.com/cta/default/7413846/3250b519-7b04-46c8-8a05-c761461c996f.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/3250b519-7b04-46c8-8a05-c761461c996f) [![Lib Guides](https://no-cache.hubspot.com/cta/default/7413846/a0754bf6-f1f0-475d-bbf4-17bea63ef9c1.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/a0754bf6-f1f0-475d-bbf4-17bea63ef9c1) [![Interactive Resource Guides](https://no-cache.hubspot.com/cta/default/7413846/84d3d6ee-36ec-4b91-9ec2-410c87e1fefc.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/84d3d6ee-36ec-4b91-9ec2-410c87e1fefc) [![Digital Library](https://no-cache.hubspot.com/cta/default/7413846/36614b2e-461f-444c-b2a9-08ee8a5f03c1.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/36614b2e-461f-444c-b2a9-08ee8a5f03c1) [![Join email list](https://no-cache.hubspot.com/cta/default/7413846/d2ffefd9-3e10-48ff-95be-d9cd6d269bd2.png)](https://cta-redirect.hubspot.com/cta/redirect/7413846/d2ffefd9-3e10-48ff-95be-d9cd6d269bd2) Connect With Us: ### Posts by Topic - 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Check Out These Recent Posts # About Us The Northwest Area Health Education Center of Wake Forest University School of Medicine provides and supports educational activities and services with a focus on primary care in rural communities and those with less access to resources to recruit, train and retain the workforce needed to create a healthy North Carolina. 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