The risk-standardised rate of acute, unplanned hospital admissions for the Merit-based Incentive Payment System (MIPS) among Medicare Fee-for-Service (FFS) patients aged 65 years and older with multiple chronic conditions (MCCs); i.e., two or more of nine qualifying chronic conditions.

The number of acute unplanned admissions per 100 person-years at risk for admission during the measurement period.

Medicare FFS beneficiaries 65 years or older with two or more of the following chronic conditions; • Acute myocardial infarction (AMI) • Alzheimer's disease and related disorders or senile dementia • Atrial fibrillation • Chronic kidney disease (CKD) • Chronic obstructive pulmonary disease (COPD) and asthma • Depression • Diabetes • Heart failure • Stroke and transient ischaemic attack (TIA)

Planned hospital admissions, admissions that occur directly from a skilled nursing facility (SNF), admissions that occur within a 10-day buffer period" after discharge from a hospital, SNF, or acute rehabilitation facility, admissions that occur after a patient has entered hospice, admissions related to complications from procedures or surgeries, admissions related to accidents or injuries, admissions with a principal discharge diagnosis of COVID-19.

Age, chronic condition categories, and other clinical and frailty risk factors present at the start of the 12-month measurement period as well as social risk factors.

Medicare claims, Medicare beneficiary enrolment data, Durable Medical Equipment claims, the American Community Survey, and the Area Health Resource Files.

Hospital Care Compare Website. More detailed data is displayed at data.cms.gov

qpp.cms.gov/resources/document/750f3c88-e16c-46a5-a7f6-e8235aefd574

p4qm.org/measures/3597 qpp-cm-prod-content.s3.amazonaws.com/uploads/2635/MIPSMCC2024_MIF.zip