If your EHR still treats MIPS like a minor add-on or something your customers can handle on their own, 2025 might be the year that changes everything.
The latest CMS Final Rule makes one thing clear: MIPS has evolved into a complex, high-stakes program that requires annual software updates, ongoing customer education, and a deep understanding of shifting regulatory demands merely to stay afloat.
At the same time, CMS has removed many of the flexibilities that previously helped practices get by. There are no more COVID exceptions, and the exceptional performance bonus is gone. What’s left is a program that EHRs must support with technical capabilities, knowledgeable support teams, and submission expertise, or risk watching their customers fall short and blame the EHR for it.
The MIPS Burden EHRs Can’t Ignore
Let’s break down what’s changed and why it's hitting EHRs harder than ever:
The 75-Point Minimum Still Stands
Every MIPS-eligible provider needs at least 75 points to avoid a -9% Medicare Part B penalty. That’s not a recommendation; it’s a line in the sand. If your software doesn’t help providers achieve that, you are the one they will call.
Benchmark Scoring is Getting Brutal
CMS has made the benchmarks so stringent that even 80% performance may only yield 3 out of 10 points. Several measures are topped out at 7 for a 100% performance rate. You need to explain the benchmark updates to your providers every year, across every measure. To make it harder, the measure from last year may not even be available for 2025.Don’t limit MIPS Reporting to Only eCQMs
To score well in the Quality category, provider practices must increase their options for measures that apply to their patient mix. To do that, the ability to evaluate and report MIPS CQMs (registry measures) in addition to eCQMs is vital. EHRs need a way to make the MIPS CQMs available to their providers.
75% Data Completeness is Now the Standard
That means your system needs to support comprehensive data capture and reporting workflows. Providers must have completed a measure for at least 75% of the patients to whom a measure applies. If a provider misses the threshold, they will get a score of 3 if they belong to a small practice (1-15 providers) or a zero if they belong to a large one (16 or more providers).Six New MVPs (21 Total to Choose From in 2025)
MVPs are CMS’s “streamlined” reporting framework. However, in reality, MVPs require new configuration, a new level of customer support, and new educational resources every time CMS makes a change. Picking the wrong one can wreck your customer’s MIPS score, and hence the payment adjustment.
Be the MIPS Superhero for your Customers with MyMipsScore
We built MyMipsScore to relieve EHRs of the MIPS burden. Whether you want to partner with us as a CMS-Qualified Registry or white label our platform as the “Intel Inside” for MIPS, we’ve got you covered.
We Stay Current, So You Don’t Have To
Our platform is updated annually to reflect the latest CMS rules, MVPs, benchmarks, and submission logic for all specialties and practice sizes. We handle research, testing, and configuration so your product team doesn’t have to scramble yearly.MyMipsScore is ASTP/ONC Certified for (c)(1-4) criteria
Your EHR can defer to the MyMipsScore certification and still achieve the Base Certification. When you do that, you won’t need to update the CQMs or the Real-World Test Plans or Results for the c-criteria. MyMipsScore will take care of that.
White-Label Option Available
Want a seamless customer experience with your brand front and center? MyMipsScore can be embedded directly into your EHR workflow as a white-labeled MIPS solution. You get all the credit, with none of the burden.Regular Monitoring and Submissions? All done!
As a CMS Qualified Registry since 2017. We help providers with regular performance monitoring and analysis, handle data validation, and submission for all MIPS categories (except Cost, which is calculated by CMS). Your customers get the MIPS support they need, and you come out looking like a hero.
Stop Chasing Compliance. Start Scaling.
Supporting MIPS used to be optional. Now, it’s a core expectation of your EHR product. The problem is that keeping up with MIPS takes too much time, training, and engineering bandwidth. After all that work, it will change again the following year. Let MyMipsScore handle MIPS for you.