New CMS resource on MIPS Cost category

06/12/2019 5:50 PM | Rebekah Francis (Administrator)

CMS has released a new Merit-based Incentive Payment System (MIPS) resource on the Cost performance category. The resource outlines details on the different Cost measures, reporting requirements, and scoring methodology. As a reminder, in additional to the historic Total Per Capita Cost and Medicare Spending Per Beneficiary MIPS Cost measures, CMS added eight new episode-based measures that cover five different procedures and three acute inpatient medical conditions. MGMA has heard from members that this category unfairly penalizes group practices that treat sicker patients and has significant concerns about the way CMS evaluates clinicians on certain measures. A top advocacy priority for MGMA is supporting efforts that more accurately measure the Cost component of MIPS and only hold clinicians accountable for resource use within their control.


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