Healthcare Quality Measures
This week’s news roundup is all about healthcare quality measures: how evolving CMS quality measures are moving towards patient-centered care; making alternative payment models truly value based; why the new CMS Primary Care Models have implications for serious illness care; and what changes medical groups want for the CMS Patients Over Paperwork program.
Evolving CMS Quality Measures Move Towards More Patient-Centered Care, Less Burden for Clinicians
Though developed to ensure that health systems deliver effective, safe, efficient, patient-centered, equitable, and timely care, CMS clinical quality measures don’t always match organizational, clinician, and patient interests and priorities. Quality measures, however, remain critical as health systems continue to build strategies and processes around value-based payment. Read More
Making APMs Truly Value-Based Through Person-Centered Care
Each stakeholder brings their own definition of value to the table when developing alternative payment models, which use value-based payments to incentivize providers to deliver care that aligns with the agreed-upon definition of value. Read More
Rating the Raters? Hospital Experts Turn Tables and Critique Quality Comparison Sites
It’s no secret that many health systems aren’t always fans of hospital comparison websites. Some of the top sources of information to earn their ire are U.S. News & World Report, the CMS Star Ratings, the Leapfrog Group, and Healthgrades. Read More
Slowly Getting Serious: The New CMS Primary Care Models And Implications For Serious Illness Care
In April, the Centers CMS introduced five new payment models as part of its Primary Care First (PCF) and Direct Contracting (DC) programs. The models represent CMS’s latest push to move primary care providers away from fee-for-service payments and into care models that focus on total cost of care, using varying levels of capitated payments that can help facilitate investment in critical services not sufficiently reimbursed under fee-for-service, such as care coordination, 24-hour call centers, and home visiting. Read More
Medical Groups Want Changes to CMS Patients Over Paperwork Program
The American Medical Group Association and Medical Group Management Association have both weighed in with the CMS about CMS proposed rules on reducing regulatory burdenan-and both want changes. Read More
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