News & Insights

New beneficiary-level data from CMS for 2018 MIPS cost performance category

Washington Connection

Medicare Payment Policies

Oct. 30, 2019: Members whose clinicians or practices submitted data for the MIPS Total Per Capita Costs for All Attributed Beneficiaries (TPCC) measure or the MIPS Medicare Spending per Beneficiary (MSPB) cost measure in 2018 can utilize a new resource from CMS. 

Individuals or groups can compare their costs for each measure with the benchmark provided in the performance user interface on the Quality Payment Program website to better understand their performance relative to their peers. MGMA has long called on CMS to provide better, actionable data to MIPS-participants related to the cost category. In response, the agency notes that this resource was created to help identify care coordination opportunities for patients and streamline resource use.
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