Performance Year 2026 · BHW Medical Group

Quality Command Center

Run BHW's primary-care quality program now, keep Traditional MIPS in shadow mode, and build M0005 readiness without forcing a 2026 MVP pathway that CMS does not currently make available to the practice.

Opt-in eligible · individual + groupSmall Practice · YesHPSA · YesPI · automatically reweightedM0005 · not currently registrableShadow mode · no CMS action

2026 participation

OptionalOpt-in eligible; not required

Practice status

SmallSmall Practice + HPSA

Promoting Interoperability

ReweightedNo 2026 PI submission required

Mapped quality measures

4M0005 future-readiness set

Shadow rates available

0 / 4Manual aggregates until Health Core feed

CMS submission

LockedAnalysis and operations only

Eligibility & Low-Volume Threshold

Current CMS QPP status is preliminary. These cards mirror the 2026 Participation Status Tool; CMS determines the official status.

CMS source of truth

Medicare patients

≤ 200

Does not exceed threshold

Allowed charges

≤ $90,000

Does not exceed threshold

Covered services

> 200

Exceeds threshold

Current result: BHW exceeds 1 of 3 low-volume threshold components, so the practice is opt-in eligible rather than required to report. M0005 remains a shadow/future-readiness framework unless CMS changes BHW to required-to-report before the applicable registration deadline.

Eligibility forecast · planning only

Enter exact internal estimates when available. This never overrides the QPP eligibility determination.

Medicare beneficiaries

Allowed Part B charges

Covered professional services

Current CMS status: Opt-in eligible
Enter all three exact values to run an internal threshold forecast.

Primary-Care Quality Measures

Raw operational rates only. Health Core will eventually supply patient-level evidence and provenance; CMS scoring remains separate.

— official

Scoring guardrail: this page does not convert local rates into CMS points. Official scoring depends on current specifications, benchmarks, case minimums, data completeness, attribution, and CMS rules.

Care-Gap Work Queue

The operating layer that turns quality measurement into outreach, orders, visits, evidence retrieval, and provider review.

Awaiting Health Core feed

No patient-level quality feed is connected yet.
We intentionally do not manufacture patient gaps from incomplete data. The next Health Core interface will send verified measure evidence into this queue with provenance; CrewOS will own operational follow-through.

Improvement Activity Readiness

Small-practice planning tracker. One selected activity and its evidence package should be operationally owned rather than reconstructed at submission time.

Non-PHI planning state

Activity ID

Selected activity

Start date

Evidence state

No activity selected yet.
Select the official 2026 activity before relying on this tracker.

What BHW should do now

2026 operational priorities under the current eligibility determination.

Traditional MIPS

Shadow

Use measures, care-gap workflows, and one Improvement Activity to test readiness. Do not elect opt-in from this dashboard.

M0005 · Value in Primary Care

Future readiness

Keep the primary-care measure architecture compatible with M0005, but do not represent BHW as registered while the practice remains opt-in eligible.

Cost

CMS claims

Display CMS-attributed cost results when available; do not recreate official attribution locally.

Promoting Interoperability

Reweighted

No 2026 PI data submission is required under Small Practice status. Interoperability work continues as Health Core infrastructure, not as a rushed 2026 MIPS requirement.

Patient Registry signal

Operational panel counts only; these are not CMS low-volume-threshold counts or quality denominators.

—Registry patients

—Active patients

—Medicare-labeled primary payer

Health Core evidence connection

Quality should be calculated from clinical evidence, not duplicate charting.

Problems / diagnoses
Eligibility and condition context

Contract

Labs / results
Diabetes evidence and longitudinal result dates

Contract

Vitals
Qualifying blood-pressure evidence

Contract

Screenings / follow-up
Depression screening + documented follow-up

Contract

CRISP preventive evidence
Mammography and reviewed external preventive evidence

Available

Claims / CMS
Claims evidence, attribution, cost results

Wire

Interoperability & Certification Readiness

Tracked now so Health Core is built correctly. These are not required to earn 2026 PI points because BHW's PI category is automatically reweighted.

2027+ infrastructure

ADHD-Buffered Timeline

BHW internal checkpoints occur before external deadlines.

Early deadlines

Quality-system boundary

Health Core owns clinical truth and provenance. The Quality Command Center reads verified evidence and calculates operational status. CrewOS owns outreach/follow-through. CMS/QPP owns official eligibility, scoring, attribution, registration, and payment adjustments. No external record automatically becomes clinical truth without the reconciliation rules of its owning Health Core domain.