MIPS 457 Percentage of Patients Who Died from Cancer Admitted to Hospice for Less than 3 days (inverse)
2026 measure specifications updates highlighted below, Practice Insights coding changes to occur 4/6/26.
MEASURE DESCRIPTION
Percentage of patients who died from cancer, and admitted to hospice and spent less than 3 days there.
This is an inverse measure, a lower percentage achieves a higher score
Relevance to Value Based Care
Many patients are enrolled in hospice for 3 days or less before their death, which limits the benefit they may gain from these services. Patients enrolled in hospice experience increased survival times along with a reduction in resource use such as aggressive end-of-life care and hospital admissions; benefits that increase the longer patients are enrolled in hospice (Lee, 2015; Langton, 2014).
Numerator
Patients who died from cancer and spent fewer than three days on hospice.
Denominator
Patients who, during the reporting period, had two E/M visits, were admitted to hospice and died from their cancer.
DENOMINATOR NOTE: The patient must have two encounters during the performance period. This is intended to reflect two separate encounters with the same reporting provider/group during this timeframe. There is no specific timeframe for the requirement for the two encounters that occur during the performance period. For example, two encounters with the same provider/group could occur in the same week. However, two encounters should not be counted if they occur on the same day. For example, the patient has two encounters, and one is with a different provider on the same day
Exclusions/Exceptions
None.
2025 Telehealth included: No Yes
2026 Scoring 1-7 points, 10 points for 0% performance (inverse measure)
