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 ...

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 ...

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.

Medicare’s approach to quality assurance has significantly changed over the years. Starting with cost monitoring measures, it now ensures Medicare beneficiaries receive high quality, safe, and ...

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 ...

Treatment episodes were defined by initiation (no visit to the same program in the prior 30 days) and discontinuation (no services for ≥15 days), and retention was calculated as the share of episodes ...

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 ...

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 ...

Over the past several decades, an appealing idea rapidly gained popularity: The government could advance a health care system that rewarded the quality of care rather than the volume of care. Medicare ...