decisionhealth Newsletters, Part B News - 2017 Issue 11 (November)
In surprise move, CMS eases cost into 2018 MIPS performance year
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Article Overview
This article covers CMS’s 2018 Quality Payment Program final rule changes affecting the MIPS cost category. It explains why the cost component matters, which broad cost measures are being used, how attribution is generally determined, and how clinicians and practices can review performance information through CMS reporting tools. The piece is relevant to physicians, practice managers, and billing/compliance teams tracking MACRA-era payment methodology changes.
Why This Topic Matters
The article helps readers understand a notable CMS policy change that affects how MIPS performance is measured and ultimately how Medicare payment adjustments are shaped. It is useful for practices preparing for cost-based reporting and for teams reviewing CMS quality and resource-use data.
Article Sections
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CMS updates the 2018 MIPS cost category
Summarizes the CMS final rule and the broader MIPS context for the cost performance category. It explains why the topic is significant for Medicare payment reform and clinician scoring.
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2 cost measures on the docket
Describes the main cost measures discussed in the article and how CMS uses practice-level reporting and attribution concepts. It also notes the possibility of additional episode-based measures and the reporting tools used to review performance.
What You Will Learn
- How CMS adjusted the MIPS cost category for the 2018 performance year
- Which general cost measures are discussed in CMS reporting for clinicians and practices
- How attribution and reporting are framed at a high level in the article
- Why the cost category is important for upcoming Medicare payment adjustments
- Where practices can review cost-related performance information
Who Should Read This
- Physicians
- Practice managers
- Billing and coding staff
- Compliance teams
- Health care consultants
Codes Discussed
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