Cost Component of the MIPS Composite Score

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Recognizing the limitations of current cost measures, CMS has decided to zero out the cost category of the Merit-Based Incentive Payment System (MIPS) for 2017. As such, cost measure data will not contribute to a clinician’s MIPS score or impact payments in 2019. However, CMS will automatically calculate these measures from claims data and provide confidential feedback to clinicians on their performance. It will be important for cardiothoracic surgeons to carefully review these MIPS feedback reports, as well as current Quality and Resource Use Reports related to the Value Modifier (VM) program.

For 2017, CMS has decided to calculate 10 episode-based cost measures, in addition to the Total Per Capita Cost and Medicare Spending Per Beneficiary measures used under the VM program. This includes a cost measure that focuses on coronary artery bypass grafting episodes and another that focuses on aortic/mitral valve surgery.

Last updated: 5/16/2017