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Cost Scoring Logic

For 2023 MIPS Performance period, the Cost category has a weight of 30% in overall MIPS score. Individual eligible clinicians or groups will be scored on 25 measures included in the Cost performance category:

  • Total Per Capita Costs for all Attributed Beneficiaries (TPCC)
  • Medicare Spending Per Beneficiary (MSPB); AND

  • 23 episode-based cost measures.

CMS will calculate Cost category score based on administrative claims data. Individual MIPS eligible clinicians and groups don’t have to submit any other information for the Cost performance category.