Skip to content

Gain easy, valuable insights into your MIPS Cost score and the Cost category

Harness data to enhance efficiency, improve patient outcomes, and boost reimbursements.

Find clarity in complex cost measures

As CMS returns to providing Cost category scores and many MIPS-eligible providers receive subpar scores, the need to understand cost measures has spiked. 

Our industry-first MIPS Cost Analytics software gives you the insights you need to succeed in the Cost category. MIPS Cost Analytics allows you to know what you can bill and get reimbursed for. It also helps you discover where you're losing patients to other providers and how much money Medicare is spending on your patients, even outside of your network. 

Don't settle for mediocre Cost scores. Use MIPS Cost Analytics to receive faster access to more robust data than Medicare can provide today.

Click to play

MIPS Cost Analytics benefits

See a full picture of care for all attributed patients and identify revenue opportunities.

Identify your top providers and those who are lagging behind.

Increase awareness for the cost of care services for qualified inpatient hospital stays.

Determine the entire cost of care clinically related to initial patient treatment and provided during an episode's time frame.

  • MIPS Cost Measures

MIPS Cost Analytics features

Whether you’re a large health system, a provider network, or an EHR, MIPS Cost Analytics helps you understand the cost of patient care.

Receive quarterly access to updated Medicare Parts A, B, and D claims data.

See how much money Medicare spends per patient, even outside your network.

Estimate and improve your MIPS Cost score.

Review cost of care by provider and compare patient expenses by clinician to identify care and cost variations.

Obtain comparative data for all providers in your organization.

Drill into Total Per Capita Cost (TPCC), Medicare Spending Per Beneficiary (MSPB), and episode-based cost measures for all your patients.


We provide your claims data from CMS quarterly
You can view data for the current reporting year and the two prior years.
MIPS Cost Analytics provides access to all Medicare claims for your patients, including episodes of care, Total Per Capita Cost (TPCC), and Medicare Spending Per Beneficiary (MSPB). This allows you to estimate your MIPS Cost score. Other features include HCC scoring, identification of highest cost patients, and the ability to drill down into patient and provider data.
We provide analytics on like centers of care in your region and the nation. We have access to detailed nationwide data for Medicare patients. This data can be used for comparisons, determining where your practice excels and where there are areas for improvement. You can also identify opportunities to reduce out-of-network referrals and target potential physician and other partnerships to drive new revenue and optimize care.

Ready to take control of your MIPS Cost category score? Schedule a consultation for MIPS Cost Analytics today and revolutionize your approach to cost management.