The methods used to compare quality between one Medicare Advantage (MA) plan and another are so seriously flawed that the system needs an overhaul, members of the Medicare Payment Advisory Commission ...

The quality-measurement movement began more than 20 years ago and has resulted in transparent quality-performance information, accountability, and improvements. At the same time, proliferation of ...

It has been 10 years since the Triple Aim was expanded to the Quadruple Aim (QA) to include “clinician well-being in the workplace” as a core health policy goal. This change came in response to the ...

Through its proposed Hospital Inpatient Prospective Payment System rule, the Centers for Medicare and Medicaid Services is building on administration-level priorities to better assess disparities in ...

Centers for Medicare and Medicaid Service (CMS)’s decision to recalculate its quality ratings for private Medicare Advantage health plans is making headlines, as first reported by The Wall Street ...

Affordable Care Act (ACA) marketplace officials are hoping to get more plans into value-based care arrangements as regulators hope to not just build on getting people covered, according to federal ...

Rural emergency hospitals (REHs) are a new Medicare provider type that will allow Medicare to pay for emergency department and other outpatient hospital services in rural areas beginning on January 1, ...

CMS has issued a request for information regarding the alignment among reporting programs of clinical quality measures reported by eligible professionals. CMS is seeking information on how EPs might ...