CMS Releases MUC List

On December 30, 2018, the Centers for Medicare and Medicaid Services (CMS) released the Measures Under Consideration (MUC) list for 2018. The pre-rulemaking process requires that the US Department of Health and Human Services (HHS) make publicly available, not later than December 1 annually, a list of quality and efficiency measures HHS is considering adopting through the federal rulemaking process for use in certain Medicare quality programs.

Of the 39 measures on the current list, 21 are for consideration under the Merit-based Incentive Payment System (MIPS). CMS said it chose the 39 measures based on its Meaningful Measures framework. The measures had “to fill a quality and efficiency measurement need and were assessed for alignment across CMS programs when applicable.”

Cost Measures under Consideration

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

Quality Measures under Consideration

  • Time to surgery for elderly hip fracture patients
  • Discouraging the routine use of occupational and/or physical therapy after carpal tunnel release
  • International Prostate Symptom Score (IPSS) or American Urological Association-Symptom Index (AUA-SI) change 6-12 months after diagnosis of Benign Prostatic Hyperplasia
  • Multimodal Pain Management
  • Potential Opioid Overuse
  • Annual Wellness Assessment: Preventive Care
  • Adult Immunization Status
  • Functional Status Change for Patients with Neck Impairments

With the release of the MUC list, the National Quality Forum (NQF) begins its yearly review of performance measures through the NQF’s Measure Applications Partnership (MAP), a coalition of over 100 healthcare stakeholders. The coalition will submit its recommendations to HHS by February 1, 2019, and publish its reports in February and March 2019. HHS will consider input from stakeholders in proposing measures for the 2020 rulemaking cycle for MIPS and the Quality Payment Program.

More information on the pre-rulemaking process for measure selection is available here.


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