---
kind: "section"
citation: "42 C.F.R. § 414.1245"
title: "42"
number: "414.1245"
heading: "Scoring methods for the value-based payment modifier using the quality-tiering approach."
url: "https://uscodex.org/cfr/42/414.1245"
---

# §414.1245. Scoring methods for the value-based payment modifier using the quality-tiering approach.


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.**

## Notes

### Amendments

[77 FR 69368, Nov. 16, 2012, as amended at 79 FR 68007, Nov. 13, 2014]

### Source

Source: 77 FR 69368, Nov. 16, 2012, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395hh, and 1395rr(b)(l).

### Source

Source: 55 FR 23441, June 8, 1990, unless otherwise noted.

### Amendments

[77 FR 69368, Nov. 16, 2012, as amended at 79 FR 68007, Nov. 13, 2014]