42 CFR 414.1245
§ 414.1245 Scoring methods for the value-based payment modifier using the quality-tiering approach.
United States · 42 CFR — Public Health · Status: effective
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- Citation
- 42 CFR 414.1245, § 414.1245 Scoring methods for the value-based payment modifier using the quality-tiering approach, United States, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/203992
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Full text
For each quality of care and cost measure, a standardized score is calculated for each group and solo practitioner subject to the value-based payment modifier by dividing—
(a) The difference between their performance rate and the benchmark, by
(b) The measure's standard deviation.
Legislative history
This is a federal regulation, adopted through agency rulemaking under the Administrative Procedure Act — not enacted by a recorded vote of Congress.