American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

How to Participate in Cost


For the 2017 transition year only, Cost, formerly known as the Centers for Medicare & Medicaid Services (CMS) Value-Based Payment Modifier (VM) program, will not be counted toward the 2017 MIPS final score. It is not being counted to give providers more time to better understand the Cost measures.

Cost is based on physicians’ Medicare claims data and calculated by CMS. There is no reporting requirement for Cost.

Know How You Are Performing

Although the Cost category will not contribute to the MIPS composite score in 2017, CMS will track physicians’ performance on Cost measures and provide feedback in order to allow physicians to improve. Similar to previous years, CMS will continue to distribute annual Quality and Resource Use Reports (QRURs)—confidential feedback reports that provide information about the cost and quality of care provided by physicians and group practices to Medicare fee-for-service patients. The reports are intended to provide comparative performance data that physicians can use to improve the care provided to Medicare beneficiaries. Since the measures included in Cost will be similar to those in the VM, providers can review their QRUR to get an idea of how they have performed in the past and prepare for the Cost category in MIPS.

Learn more about QRURs and how to obtain yours on the ACS QRUR page.

For more information, contact Bobby Kopp at or 202-672-1506.