Why Small Practices Struggle With MVP Reporting & How to Overcome It

For small medical practices, MVP (MIPS Value Pathways) reporting can feel like navigating a maze. While the goal of MVPs is to simplify reporting under value-based care, the reality often feels overwhelming. Limited staff, tight budgets, and complex CMS requirements can make reporting appear almost impossible — yet it’s a crucial part of maintaining reimbursements, avoiding penalties, and demonstrating quality care, but P3Care is providing these services. 

In this guide, we’ll explore why small practices struggle with MVP reporting, provide detailed examples, and outline practical solutions to help small practices succeed.

What Is MVP Reporting and Why Does It Matter

Before diving into challenges, it’s important to understand MVP reporting:

• MVP (MIPS Value Pathways) is an evolution in value-based care, offering an optional reporting framework in 2026 that will become mandatory in 2027. It simplifies participation by focusing on specialty-specific, clinically relevant measures.
• Instead of reporting on a wide range of disconnected metrics, practices report on grouped measures that align with how they deliver care.
• Successful MVP reporting impacts reimbursement, quality scores, and performance recognition, while errors or omissions can lead to penalties.

For small practices, participating in MVP reporting is optional in 2026, but it is essential to stay competitive and avoid potential payment reductions. However, this is where many challenges begin.

Common Challenges Small Practices Face in MVP Reporting

1. Administrative Overload

The Problem:
Small practices typically operate with minimal administrative staff. Often, the same team handles billing, patient scheduling, and compliance. Adding MVP reporting on top of these tasks creates overload.

Example:
Picture a two-physician clinic where one office manager does it all. MVP reporting turns an already demanding role into an even greater challenge, requiring precise measure tracking, data accuracy, and timely submissions, often with minimal guidance.

Solution:

• Assign a dedicated reporting lead, even if part-time.
• Create a structured workflow: break reporting into monthly or quarterly tasks instead of leaving it for year-end.
• Use simple dashboards to track progress, so the team can visualize what’s done and what’s pending.
• Outsource MVP reporting to P3Care to reduce administrative burden, ensure accurate submissions, and free your staff to focus on patient care.

2. Difficulty Understanding Reporting Requirements

The Problem:
MVP reporting requirements are detailed and sometimes confusing. Small practices may struggle with:

• Choosing the correct MVP pathway
• Identifying which measures apply to their specialty
• Understanding how to document and submit data correctly

Example:
A family practice might be unsure whether to report on chronic disease management measures or preventive care measures, leading to errors in reporting.

Solution:

• Provide staff training on MVP basics and measure selection.
• Break down each measure with clear instructions on required data and documentation.
• Use templates or checklists to standardize reporting processes.

P3Care delivers structured training, standardized templates, and expert guidance to help practices implement MVP reporting accurately and efficiently.

3. Limited Technology and EHR Integration

The Problem:
Many small practices have EHRs that aren’t fully supported for MVP reporting. Manual data entry or disconnected systems create inefficiencies and errors.

Example:
Patient data may be stored in one system, lab results in another, and immunization records in a third. Consolidating all this data for MVP reporting can take hours.

Solution:

• Invest in EHR tools or add-ons that automate measure tracking and reporting.
• Use cloud-based dashboards to consolidate data from multiple sources.
• Start small: focus on automating the most time-consuming measures first.

4. Budget Constraints

The Problem:
Hiring consultants or buying advanced reporting tools can be expensive. Small practices often operate on tight margins and may hesitate to invest, even if it reduces future risk.

Example:
A solo physician clinic may delay buying a reporting software, thinking manual reporting is “good enough,” only to face penalties for incomplete submissions.

Solution:

• Prioritize high-impact, cost-effective tools.
• Consider outsourcing selectively: hire an MVP consultant only for complex measures or year-end review.
• P3care is your trusted partner for navigating CMS resources, offering guides that reduce complexity and consulting expenses.

5. Lack of Ongoing Performance Monitoring

The Problem:
Small practices often check performance only at year-end. This reactive approach means issues are discovered too late to correct.

Example:
A practice may find in December that some preventive care measures weren’t reported correctly, leaving little time to fix errors before submission deadlines.

Solution:

• Implement monthly or quarterly audits of MVP measures.
• Track data in real-time dashboards to identify gaps immediately.
• Schedule regular team check-ins to review progress and assign follow-up actions.

P3Care provides continuous performance monitoring, real-time reporting dashboards, and expert review services to help practices stay compliant throughout the year—not just at submission time.

6. Staying Updated with Changing Regulations

The Problem:
CMS rules and MVP requirements change annually. Small practices without dedicated compliance staff may fall behind on updates.

Example:
A practice may continue reporting outdated measures because they weren’t aware of CMS updates, leading to penalties or reduced scores.

Solution:

• Attend annual MVP/MIPS training sessions or webinars.
• Maintain a centralized compliance calendar highlighting key deadlines and updates.

How Small Practices Can Turn Challenges Into Opportunities

When small practices adopt structured approaches, MVP reporting becomes more manageable:

1. Focus on Relevant Measures: Select only the MVP measures aligned with your practice specialty to reduce unnecessary workload.
   
2. Integrate Reporting Into Daily Workflow: Capture data as part of routine patient care rather than as a separate task.
   
3. Leverage Technology Strategically: Use automated tools and software to streamline processes, save time, and reduce errors.
   
4. Regular Monitoring: Track performance throughout the year to catch gaps early.
   
5. Seek Expert Guidance Selectively: Consultants or external services can provide support when needed without overwhelming your budget.
   

For practice looking for a seamless way to manage reporting and optimizing workflow, P3care offers MVP reporting solutions that are designed to streamline workflow to simplify process and efficiency.  

Why MVP Reporting Should Be Done Early 

By overcoming these challenges and by early adoption, proactive planning can help small practices in the following ways :

• Smoother transition to mandatory MVP requirements: Early adopters build workflows and systems before MVP becomes mandatory, avoiding rushed implementation.
• Greater operational efficiency: Proactive planning helps integrate reporting into daily workflows, reducing disruptions and last-minute workload spikes.
• Data-driven decision-making: Early reporting provides insights into clinical and operational performance, helping practices improve outcomes and workflows.
• Stronger financial planning and revenue optimization: Consistent tracking enables practices to forecast reimbursements and identify opportunities to maximize incentive payments.
• Future-ready compliance infrastructure: Early implementation creates a scalable compliance framework that supports evolving CMS regulations and value-based care models.

In short, MVP reporting can transform from a daunting requirement into a valuable tool that supports better operations and care delivery.

Preparing for the Future

MVP reporting will continue to evolve, and small practices that build strong foundations now will be better positioned to adapt. Early adoption, proactive planning, and the right support can turn MVP reporting into a competitive advantage rather than a burden.

Conclusion

Small practices face real and significant challenges in MVP reporting, but these challenges are manageable with the right strategies. By focusing on relevance, embedding reporting into daily operations, leveraging technology, and seeking guidance when needed, small practices can navigate MVP reporting successfully — improving compliance, reducing stress, and enhancing patient care.

FAQs

What is MVP reporting in healthcare?

MVP (MIPS Value Pathways) is a CMS framework that groups related quality measures to simplify value-based care reporting. It helps practices report more relevant, specialty-specific performance data.

Is MVP reporting mandatory for small practices?

MVP reporting is optional in 2026 but is expected to become mandatory in 2027. Early participation helps practices prepare for future requirements and avoid rushed implementation.

What happens if a practice does not report MVP data?

Failure to report MVP or MIPS data can result in Medicare payment reductions and lower performance scores. Accurate reporting is essential to protect revenue and compliance.

How can small practices simplify MVP reporting?

Practices can simplify reporting by integrating MVP measures into daily workflows, using automated dashboards, and conducting regular performance audits. Outsourcing complex tasks can further reduce workload.

How does P3Care support MVP reporting?

P3Care offers end-to-end MVP reporting solutions, including training, workflow optimization, real-time monitoring, and CMS-compliant submissions. This helps practices reduce administrative burden and improve reporting accuracy.