MACRA QPP Center

Physicians Advocacy Institute

Frequently Asked Questions Updated for 2020

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2. What is an episode-based cost measure?

  1. Episode-based cost measures are measures that assess costs for episodes of care that represent a variety of conditions and procedures that are designated as high cost, have variability in resource use, or are for high impact conditions. CMS will be assessing performance for 18 episode-based measured, when applicable to the clinician. These 18 episode-based measures are illustrated in the chart below:

    Episode based cost measures



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