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Cost Measures

In 2018, the CMS has included only 2 measures for cost category performance:

  • The total per capita cost and
  • MSPB measure

CMS proposed to include the total per capita cost measure because it is a global measure of all Medicare Part A and Part B costs during the performance period. In addition, MIPS eligible clinicians are familiar with both of these measures as these measures have been used in the VM in the preceding years. In addition to familiarity, these two measures cover a large number of patients and provide an important measurement of clinician contribution to the overall population that a clinician encounters.