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CMS-1403-FC
the Boston program site used both a per capita and an
episode of care analysis for measuring cost of care.
Accordingly, we are implementing this approach to resource
measurement on an interim final basis and solicit comments
on this approach, as well as the following additional
questions:
● Are per capita resource use measures meaningful and
actionable?
● Are episode-based resource use measures meaningful
and actionable?
● Are composite measures of resource use that combine
episodes of care valuable?
We also provided the Baltimore and Boston physicians
with a cost of service category breakdown (for example,
imaging services, inpatient admissions, or outpatient
services) for both the per capita and episode of care
analyses. We are finalizing this approach and welcome
public comment on including cost of service categories to
capture Medicare FFS claims data, as well as other ways to
capture data in the Physician Resource Use Feedback
Program. In particular, we are soliciting comment on the
following:
● What cost of service categories are most meaningful
and actionable?
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