CMS Announces Field Testing of 13 Cost Measures through October 31, 2018

The Centers for Medicare and Medicaid Services (CMS) and its contractor, Acumen, LLC, are conducting field testing for 13 cost measures before consideration of their potential use in the cost performance category of the Merit-based Incentive Payment System (MIPS) of the Quality Payment Program in 2020 or beyond. During field testing, all stakeholders are invited to provide feedback on the measures and supplemental documents through October 31, 2018. Participation in field testing is voluntary.

The following measures are being field tested:

Eleven New Episode-Based Cost Measures Currently under Development:

  • Acute Kidney Injury Requiring New Inpatient Dialysis
  • Femoral or Inguinal Hernia Repair
  • Elective Primary Hip Arthroplasty
  • Hemodialysis Access Creation
  • Inpatient Chronic Obstructive Pulmonary Disease (COPD) Exacerbation
  • Lower Gastrointestinal Hemorrhage
  • Lumbar Spine Fusion for Degenerative Disease, 1-3 Levels
  • Lumpectomy, Partial Mastectomy, Simple Mastectomy
  • Non-Emergent Coronary Artery Bypass Graft (CABG)
  • Psychoses/Related Conditions
  • Renal or Ureteral Stone Surgical Treatment

Two Cost Measures Undergoing Re-evaluation:

  • Total Per Capita Cost (TPCC)
  • Medicare Spending Per Beneficiary (MSPB) clinician

Note: These are not the same measures currently in use for the 2017 and 2018 MIPS performance periods.

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Ways to Provide Feedback:

  • Feedback on Your Personal Field Test Report: The 2017 MACRA Cost Measure Field Test Reports are available through the CMS Enterprise Portal.
  • Feedback on field testing materials: All stakeholders are encouraged to review and provide feedback on field testing materials, even if you did not receive a field test report. You can review publicly available materials including mock reports and supplemental documentation, including a fact sheet, draft measure specifications, detailed methodology, and Frequently Asked Questions (FAQ) on the MACRA Feedback Page.
  • Survey: Participate in the 2018 MACRA Episode-Based Cost Measures Field Testing Feedback Survey which can be accessed here.


For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at 202-204-1459,