The Centers for Medicare & Medicaid Services has announced a new tool for healthcare providers to help improve the quality of care, according to an agency release. The enhanced Quality Improvement ...

CMS will hold a live encore presentation of last week's webinar on its new contracts with Quality Improvement Organizations, on July 29 at 2 p.m., EST, according to an AHA News Now report. CMS ...

The Centers for Medicare and Medicaid Services is increasing scrutiny and oversight over the country's poorest-performing nursing facilities. CMS is toughening requirements for completion to the ...

Medicare’s value-based programs are penalizing inpatient hospitals for community-level health equity factors that impact outcomes but are largely out of hospitals’ control, according to a recent ...

For quite some time I have been an advocate of reforming the Quality Improvement Organization (QIO) program. It’s an oxymoron to have a quality improvement program that turns out to be poor quality.

On October 21, 2022, CMS announced new actions to increase accountability and scrutiny on nursing homes in the Special Focus Facilities Program (SFF Program), an oversight program for the poorest ...

Unfortunately, this book can't be printed from the OpenBook. If you need to print pages from this book, we recommend downloading it as a PDF. Visit NAP.edu/10766 to get more information about this ...

On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2022 proposed changes to the physician fee schedule. CMS devoted 25 pages of the proposed rule to ...

A new-look Medicare Advantage (MA) quality bonus program would better incentivize insurers and help individuals choose a more appropriate plan, a report from Urban Institute finds. Authors Robert ...

The Medicare Advantage quality bonus program, established by the Affordable Care Act as part of a package of MA reforms, was expected to reduce payments to MA organizations. But according to a new ...

Medicare Advantage’s quality bonus program is a significant source of revenue for MA insurers, but generally doesn’t translate to higher quality care for beneficiaries, according to a new report from ...