Excerpted from “MIPS 2024, Part 2—What’s New With PI, Improvement Activities, and Cost" (EyeNet, February 2024), posted online ahead of print.
The cost performance category is largely the same, but there are a few changes.
Five new cost measures. CMS has added five new episode-based measures, but none of them are likely to apply to an ophthalmology practice.
Problems with the cost improvement score in 2023. To reward clinicians who improve their performance, the cost category has included a cost improvement score. Initially, CMS planned to assess cost improvement based on whether there had been statistically significant improvements or declines in your performance of individual cost measures. However, the agency realized that this scoring methodology would be “resource intensive, complex to implement, and error prone,” and replaced it with a simplified methodology that it is applying retroactively to the 2023 performance year.
How CMS will calculate your cost improvement score for 2024. Under the new methodology, your cost improvement score = ([your increase in cost performance category score from 2023 to 2024] ÷ your 2023 cost performance category score) × “maximum cost improvement score.” The maximum cost improvement score is currently 1. (Note: you can’t get a negative cost improvement score. The minimum cost improvement score is zero.)
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