Clinical Quality Measures

NAACOS Calls on CMS to Adjust Digital Quality Measurement Requirements

October 19, 2022 - Before implementing program-wide requirements for digital quality measurement in the Medicare Shared Savings Program (MSSP), CMS should establish a pilot that tests the technical feasibility and the impact on accountable care organizations (ACOs), according to the National Association of ACOs (NAACOS). Starting in 2025, MSSP ACOs must use...

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Daily Variation in Nursing Home Staffing Led to Poorer Clinical Quality

by Victoria Bailey

Daily variation in nursing home staffing was associated with poorer clinical quality in Medicare and Medicaid-certified nursing homes, suggesting that reporting staffing variation could help provide...

Cost Data to Improve Quality Reporting, Value-Based Purchasing

by Jacqueline LaPointe

Providers enter value-based purchasing contracts without understanding the cost of quality reporting on measures listed in their contracts and payers rarely use cost data to determine...

NQF Eyes Adding Social Risk Factors to Value-Based Purchasing

by Jacqueline LaPointe

In response to stakeholder concerns that value-based purchasing programs unfairly penalize providers who treat greater proportions of disadvantaged patients, the National Quality Forum (NQF) recently...

Exploring Quality Measures Under Value-Based Purchasing Models

by Jacqueline LaPointe

CHICAGO – Jason Goldwater, MPA, MA, Senior Director of the National Quality Forum, recently likened the value-based purchasing transition to the evolution of music at Xtelligent Media’s...

AMGA: Align Medicare Reimbursement, Measures for High-Value Care

by Jacqueline LaPointe

AMGA recently called on CMS to align quality measures with spending performance as well as Medicare reimbursement policies across Medicare Advantage, fee-for-service models, and accountable care...

CMS Adds 2 Compare Websites to Boost Healthcare Transparency

by Jacqueline LaPointe

In effort to increase healthcare transparency, CMS recently added two new healthcare organization Compare websites and updated performance data for existing hospice care, hospital, and physician Compare...

GAO: Quality Measure Misalignment Impedes Provider Improvement

by Jacqueline LaPointe

Healthcare quality measures are integral to determining value-based reimbursement, but misalignment of quality measures across public and private payers has made it more difficult for providers to...

Providers Spend $15.4B to Report on Healthcare Quality Measures

by Catherine Sampson

General internists, family physicians, cardiologists, and orthopedists spend more than $15.4 billion annually to report on healthcare quality measures set by payers, according to a report from Health...

Value-Based Care Leads to Higher Costs for Surgical Complications

by Catherine Sampson

As a result of recent efforts to bring value-based care to the reimbursement cycle, it’s now more important for both providers and payers to gain an understanding about the link between costs and...

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