A Deeper Dive into the MIPS Cost Category

Measuring cost is an important part of Merit-based Incentive Payment System (MIPS), but it can be confusing. Qsource’s Don Gettinger, BS, CHTS-IM, explains how the measure works in easy-to-understand, real-world terms.

For 2018, MIPS uses cost measures that cover the total cost of care during the year or during a hospital stay. Gettinger will explain the Total per Capita Costs piece of the Cost performance category that uses your Medicare claims data to collect Medicare payment information for the care you gave to beneficiaries throughout the year.

For the 2017 transition year, the Cost performance category didn’t count toward your total MIPS score. In year 2, it does count for 10% of your total MIPS score.