MIPS: Cost

In 2021, the Cost category makes up 20% of your final score. The performance period is 12 months. 

The Cost category measures resources clinicians use to care for patients and Medicare payments made for care (items and services) provided to beneficiaries. The measures are the following: 

• Medicare Spending Per Beneficiary (MSPB)
• Total Per Capita Cost
• Adding 8 episode-based measures

CMS uses Medicare claims data to calculate cost measure performance which means clinicians and groups do not have to submit any data for this performance category.

To learn more about reporting Cost measures, see below: 

https://qpp.cms.gov/mips/cost