The Merit-based Incentive Payment System (MIPS) cost performance category weight is 15% of the final score for the 2020 performance period/2022 MIPS payment year. CMS announced the reweighting the cost performance category from 15% to 0% for the 2020 performance period.
The 15% cost performance category weight will be redistributed to other performance categories in accordance with § 414.1380(c)(2)(ii)(D). Please see the table below for reweighting scenarios.
Clinicians don’t need to take any action as a result of this decision because the cost performance category relies on administrative claims data.
MIPS Performance Category Weight Redistribution Policies Finalized for the 2020 Performance Period
The table below illustrates the 2020 performance category weights and reweighting policies that CMS will apply to clinicians under MIPS. As a reminder, under § 414.1380(c), if a MIPS eligible clinician is scored on fewer than 2 performance categories (meaning 1 performance category is weighted at 100% or all performance categories are weighted at 0%), they will receive a final score equal to the performance threshold and a neutral MIPS payment adjustment for the 2022 MIPS payment year.
|
MIPS Performance Category Reweighting Scenario |
Quality Category Weight |
Cost Category Weight |
Improvement Activities Category Weight |
Promoting Interoperability Category Weight |
|
No Additional Reweighting Applies |
55% |
0% |
15% |
30% |
|
Reweight 2 Performance Categories |
||||
|
No Promoting Interoperability, No Cost |
85% |
0% |
15% |
0% |
|
No Quality, No Cost |
0% |
0% |
15% |
85% |
|
No Improvement Activities, No Cost |
70% |
0% |
0% |
30% |
* This table may be found at § 414.1380(c)(2)(ii)(D).
