The measure is a 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 outcome for this measure is the number of acute unplanned admissions per 100 person-years at risk for admission during the measurement period. This measure does not include the following types of admissions in the outcome because they do not reflect the quality of care provided by ambulatory care providers who are managing the care of patients with MCCs

Medicare FFS beneficiaries 65 years or older whose combinations of chronic conditions put them at high risk of admission and whose admission rates could be lowered through better care. Specifically: Patient is alive at the start of the measurement period and has two or more of nine chronic condition disease groups in the year prior to the measurement period: ·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)

Patients without continuous enrolment in Medicare Part A or B during the measurement period ·Patients who were in hospice at any time during the year prior to the measurement year or at the start of the measurement year ·Patients who had no Evaluation & Management (E&M) visits to a MIPS-eligible clinician type ·Patients assigned to clinician who achieve QP status and therefore do not participate in MIPS ·Patients attributed to haematologists and oncologists

Demographic and clinical (including chronic disease groups and measures of frailty) variables as well as social risk factors. Clinical variables are defined primarily using CMS's Condition Categories (CCs)

Merit-Based Incentive Payment System traditional reporting

qpp.cms.gov/mips/traditional-mips

qpp.cms.gov/resources/document/2637aef9-a122-4731-b2d8-3fcc7e20dd27