CMS is Requesting Feedback on 13 Cost Measures

The Centers for Medicare & Medicaid Services (CMS) is requesting feedback on 13 cost measures being considered for use in the cost performance category of the Merit-based Incentive Payment System (MIPS). Stakeholders are invited to submit feedback on the measures and supplemental documents by October 31, 2018. The 13 measures under consideration are:

Eleven New Episode-Based Cost Measures Currently under Development:

  • Acute Kidney Injury Requiring New Inpatient Dialysis
  • Femoral or Inguinal Hernia Repair
  • Elective Primary Hip Arthroplasty
  • Hemodialysis Access Creation
  • Inpatient Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
  • Lower Gastrointestinal Hemorrhage
  • Lumbar Spine Fusion for Degenerative Disease, 1-3 Levels
  • Lumpectomy, Partial Mastectomy, Simple Mastectomy
  • Non-Emergent Coronary Artery Bypass Graft (CABG)
  • Psychoses/Related Conditions
  • Renal or Ureteral Stone Surgical Treatment

Two Cost Measures Undergoing Re-evaluation:

  • Total Per Capita Cost (TPCC)
  • Medicare Spending Per Beneficiary (MSPB) clinician

Click here to learn more about the feedback CMS is requesting.

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