How to Understand Your 2015 Annual Quality and Resource Use Report Contents a Background and Purpose of the Annual Quality and Resource Use

A BACKGROUND AND PURPOSE OF THE ANNUAL QUALITY AND RESOURCE USE REPORTS ........................................................................................................................................ 1 B EXHIBITS INCLUDED IN THE ANNUAL QUALITY AND RESOURCE USE REPORTS ............... 2 Your TIN’s 2017 Value Modifier ....................................................................................................... 2 Exhibit 1. 2017 Value Modifier Payment Adjustments under Quality-Tiering .................................. 2 Exhibit 2. Your TIN’s Quality Composite Score ............................................................................... 3 Exhibit 3. Performance on Quality Measures, by Domain ............................................................... 3 Exhibit 4. Your TIN’s Cost Composite Score ................................................................................... 5 Exhibit 5. Costs for Your TIN’s Attributed Medicare Beneficiaries ................................................... 5 C BACKGROUND AND PURPOSE OF THE TABLES ....................................................................... 7 Table 1: Physicians and Non-Physician Eligible Professionals Identified in Your Medicare-Enrolled Taxpayer Identification Number (TIN), Selected Characteristics ................ 8 Table 2A: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending Per Beneficiary) and Claims-Based Quality Outcome Measures, and the Care that Your TIN and Other TINs Provided ......................................................................... 10 Table 2B: Admitting Hospitals: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending Per Beneficiary) and Claims-Based Quality Outcome Measures ................................................................................................................................. 13 Table 2C: Hospital Admissions for Any Cause: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending Per Beneficiary) and Claims-Based Quality Outcome Measures: .................................................................................................... 14 Table 3A: Per Capita Costs, by Categories of Service, for the Per Capita Costs for All Attributed Beneficiaries Measures ........................................................................................... 15 Table 3B: Costs of Services Provided by Your TIN and Other TINs: Beneficiaries Attributed to Your TIN for the Cost Measures (except Medicare Spending Per Beneficiary) and Claims-Based Quality Outcome Measures .................................................. 17 Tables 4A 4D: Per Capita Costs, by Categories of Service, for Beneficiaries with Specific Conditions .................................................................................................................. 18 Table 5A: Admitting Hospitals: Episodes of Care Attributed to Your TIN for the Medicare Spending per Beneficiary (MSPB) Measure ............................................................................ 18