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    • Value Modifier

    Metadata Updated: February 17, 2023

    The Medicare Value-Based Payment Modifier (Value Modifier) data contains the performance results of de-identified practices that were subject to the Value Modifier, such as the practices' quality and cost tiers along with any applicable Value Modifier payment adjustment. The Value Modifier provided for differential payment under the Medicare Physician Fee Schedule based on the quality of care furnished to Medicare beneficiaries compared to the cost of care during a performance period. Calendar Year 2015 was the first payment adjustment period under the Value Modifier based on performance in 2013. Calendar Year 2018 was the final payment adjustment period under the Value Modifier based on performance in 2016. 

    The Merit-based Incentive Payment System (MIPS) under the Quality Payment Program has replaced the Value Modifier program. The Centers for Medicare & Medicaid Services (CMS) encourages everyone to learn more about the Quality Payment Program.

    Access & Use Information

    Public: This dataset is intended for public access and use. License: See this page for license information.

    Downloads & Resources

    References

    https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology

    Dates

    Metadata Created Date January 25, 2022
    Metadata Updated Date February 17, 2023
    Data Update Frequency R/P1Y

    Metadata Source

    Harvested from Healthdata.gov

    Other Data Resources

    Additional Metadata

    Resource Type Dataset
    Metadata Created Date January 25, 2022
    Metadata Updated Date February 17, 2023
    Publisher Centers for Medicare & Medicaid Services
    Maintainer
    Identifier https://data.cms.gov/data-api/v1/dataset/c3e8e9c3-5193-47fb-a5bb-d3ddb00e7197/data-viewer
    Data First Published 2021-12-22
    Language en-US
    Data Last Modified 2021-01-06
    Category Medicare
    Public Access Level public
    Data Update Frequency R/P1Y
    Bureau Code 009:38
    Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
    Metadata Catalog ID https://healthdata.gov/data.json
    Schema Version https://project-open-data.cio.gov/v1.1/schema
    Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
    Data Quality True
    Data Dictionary https://data.cms.gov/resources/value-modifier-data-dictionary
    Harvest Object Id 01d043c4-b6af-42e1-b475-77266ecda44b
    Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
    Harvest Source Title Healthdata.gov
    Homepage URL https://data.cms.gov/medicare-value-based-payment-modifier-program/value-modifier
    License https://www.usa.gov/government-works
    Program Code 009:000
    Related Documents https://data.cms.gov/resources/2018-value-modifier-performance-year-2016-methodology
    Source Datajson Identifier True
    Source Hash 45b483b1c2b01ece4cb65cdf87cc1948571b9201
    Source Schema Version 1.1
    Temporal 2013-01-01/2016-12-31

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