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 ...

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 ...

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.

While providers aren’t required to follow OIG recommendations, a compliance program based on their guidance can spare ...

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 ...

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 ...

The Centers for Medicare & Medicaid Services will be collecting new data on nursing homes’ “readiness” to access, share and use electronic data — a precursor for a new pilot that could include skilled ...

CMS’ Hospital Inpatient Quality Reporting Program was designed to pay hospitals a higher annual update to their payment rates for successfully reporting and meeting designated quality measures. In ...

The Medicare Shared Savings Program saved over $2.1 billion in 2023, enhancing care quality through ACOs. ACOs showed significant improvements in quality measures, including diabetes control, cancer ...

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 ...