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Cost: Traditional MIPS Requirements

Overview

This page provides an overview of cost requirements for traditional MIPS. For information regarding the cost requirements for the MIPS Value Pathways (MVPs) reporting option, visit Explore MVPs. Clinicians reporting via the Alternative Payment Model (APM) Performance Pathway (APP) aren't scored on cost measures. Learn more about the APP.

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Performance Year

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2021 Cost Requirements

Updated

0% OF FINAL SCORE

*CLINICIANS DON’T NEED TO TAKE ANY ACTION AS A RESULT OF THIS UPDATE.

Reweighting Cost for Performance Year 2021

We’re reweighting the cost performance category from 20% to 0% for the 2021 performance year. The 20% cost performance category weight will be redistributed to another performance category or categories.

Based on our analysis of the 2021 performance year data, we don’t believe we can reliably calculate scores for some of the cost measures that would adequately capture and reflect the performance of MIPS eligible clinicians.

We’ll provide patient-level reports on the cost measures for which clinicians, groups and virtual groups met the case minimum, but we won’t include measure-level scoring information in performance feedback. Patient-level reports will be available as part of the final performance feedback in August 2022.

Cost reweighting applies to all MIPS eligible clinicians, whether participating as an individual, group or virtual group. Cost is already weighted at 0% for clinicians in a MIPS Alternative Payment Model (APM) who are reporting the APM Performance Pathway (APP), and for APM Entities reporting traditional MIPS.

Please refer to the Appendix in the 2021 Cost Quick Start Guide to review the QPP listserv announcing this decision.

Additional Resources