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The MACRA required us to ask for your feedback.

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What is cost measure field testing?

In October 2018, we’re field testing 11 newly developed episode-based cost measures and 2 re-evaluated measures before we decide whether to use them in MIPS. We’re refining 2 re-evaluated measures before consideration of their potential use in MIPS. The 2 re-evaluated measures, Medicare Spending Per Beneficiary (MSPB) clinician and Total Per Capita Cost (TPCC), are being refined to address stakeholder input. These are different than the versions of the measures being used for the MIPS 2017 and 2018 performance periods.

When will field testing happen? *Update: deadline extended*

Field testing will happen from October 3, 2018 through October 31, 2018. During this time, eligible clinicians and clinician groups can get Field Test Reports from the CMS Enterprise Portal. These reports will be for field testing ONLY and won’t affect any scoring or payment adjustments for your MIPS performance.

Update: The deadline for submitting feedback has been extended from the original deadline of 11:59pm ET, October 31, 2018 to 12pm ET of Monday, November 5, 2018.

Feedback sent in by the original deadline will be processed and reviewed first. We encourage you to submit your feedback on the draft measure specifications, by October 31. Feedback sent in after the original deadline of October 31, but by the extended deadline of November 5, may not be part of the summary for measure refinements this fall, but will be included in the public summary report and used for future measure development and re-evaluation.

How can I learn more and give feedback?

Learn how to give us your feedback on the 11 episode-based cost measures and 2 re-evaluated measures.

Learn more about cost measures and field testing from our:

  • Fact sheet that gives you basic information about
    • Cost measures.
    • Field testing process.
    • How clinician and clinician groups can access reports.
  • FAQ that give you information about the cost measures and field testing in a question and answer format.
  • User Access Guide that describes how to access your Field Test Report, which you can get now on the CMS Enterprise Portal.
  • Download a zip file of draft measure specifications or the mock field test report:
    • Episode-Based Cost Measures zip file includes:
      • Draft cost measure methodology.
      • Draft cost measure codes lists for each of the 11 episode-based cost measures
      • Measure Development Process document with our approach to measure development.
    • A sample Episode-Based Cost Measures Mock Report.
    • MSPB clinician zip file includes:
      • Draft cost measure methodology.
      • Draft cost measure codes list for the re-evaluated measure.
    • A sample MSPB Clinician Mock Report. (These are the draft specifications and mock field test report for the re-evaluated measure for field testing only.)
    • TPCC zip file includes:
      • Draft cost measure methodology.
      • Draft cost measure codes list for the re-evaluated measure.
    • A sample TPCC Mock Report. (These are the draft specifications and mock field test report for the re-evaluated measure for field testing only.)
  • Review the 2018 National Summary Data Report, which provides national-level summary statistics on clinicians’ performance for the cost measures being field tested. 

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