Tag: Quality Measures

CMS Solicits New Specialty Measure Sets

The Centers for Medicare and Medicaid Services (CMS) is accepting recommendations for new specialty specific measure sets, or adjustments to existing measure sets for 2021 performance year of the Merit-based Incentive Payment Program (MIPS). Recommen...

New CMS Policy in Effect for Quality Measures Impacted by ICD-10 Updates

Finalized in the CY 2018 Quality Payment Program (QPP), the Centers for Medicare and Medicaid Services (CMS) established a new protocol for quality measures impacted by changes in ICD-10 coding. This new protocol went into effect on October 1, 2019. ...

CMS Brings Health Plan Quality Ratings to All Exchanges

The Centers for Medicare and Medicaid Services (CMS) will require the display of the five-star Quality Rating System available nationwide for health plans offered on the Health Insurance Exchanges beginning in the 2020 Open Enrollment Period. This is...

CMS Releases CY 2020 PFS Proposed Rule

On July 29, 2019, the Centers for Medicare and Medicaid Services (CMS) released the CY 2020 Revisions to Payment Policies under the Physician Fee Schedule (PFS) and Other Changes to Part B Payment Policies (CMS-1715-P), which includes proposals relat...

Innovation Center Hosts Office Hour on Primary Care First Model

The Centers for Medicare and Medicaid (CMS) Innovation Center will be hosting an office hour on August 6, 2019, at 12 pm ET on Primary Care First model payments. During this session, the Primary Care First model team will answer your questions relate...

LAN Launches Roadmap APM Video Series

The Health Care Payment Learning and Action Network (LAN) launched the first chapter in a new educational video series covering select content from the Roadmap for Driving High Performance in Alternative Payment Models (APM). Click here to...

2020 Medicaid and CHIP Core Set Open for Comments Through August 5

The Centers for Medicare and Medicaid (CMS) updates the Child and Adult Core Sets of quality measures annually. The Core Sets are important sources of information for CMS to assess the quality of services beneficiaries receive and improve Medicaid an...

Executive Order Calls for Greater Alignment of Quality Measures and Data Reporting Across Programs

On June 24, President Trump signed the executive order “Improving Price and Quality Transparency in American Health Care to Put Patients First.” The executive order, which is consistent with previous Administration policies and priorities, focuse...

CMS Updates QPP Resources

The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:

  • 2019 MIPS Eligibility Decision Tree

This resource will help cl...

CMS Releases 2019 Measure Development Plan Annual Report

On May 31, 2019, the Centers for Medicare and Medicaid Services (CMS) posted the 2019 Quality Measure Development Plan (MDP) Annual Report, which describes progress in developing clinician quality measures to support the Quality Payment Program (QPP)...

CMS Hosts Webinars on the Development and Impact of Quality Measures

CMS is hosting two webinars that will provide an overview of quality measures, with an emphasis on how these measures are impacting health care and how the public can get involved in the development of quality measures. Each of the webinars will be o...

CMS Updates QPP Resources

The Centers for Medicare and Medicaid Services (CMS) uploaded new materials to the Quality Payment Program (QPP) Resource Library:

  • 2019 Measures and Activities for Speech Language Pathologists

...

Updated eCQM Specifications and Materials for 2020 Reporting Now Available

The Centers for Medicare and Medicaid Services (CMS) has posted the electronic clinical quality measure (eCQM) specifications for the 2020 reporting period for Eligible Hospitals and Critical Access Hospitals, and the 2020 performance period for Elig...

2019 MIPS Improvement Activities Performance Category Call for Technical Expert Panel

The Centers for Medicare and Medicaid Services (CMS) is requesting nominations for the Merit-based Incentive Payment System (MIPS) Improvement Activities (IA) Technical Expert Panel (TEP). HealthInsight, a CMS a subcontractor on this project, is con...

Quality Proposals from IRF, IPF and Hospice FY 2020 Payment Rules

The Centers for Medicare and Medicaid Services (CMS) has begun the annual update of Medicare payment policies. FY 2020 proposed regulations for Inpatient Rehabilitation Facilities (IRF), Inpatient Psychiatric Facilities (IPF) and Hospice were recentl...

Upcoming CMS MIPS Webinars on Facility-based Measurement and the PI Performance Category

Facility-based Measurement The Centers for Medicare and Medicaid Services (CMS) is hosting a webinar on April 18 from 1 to 2 pm ET to provide information about facility-based measurement for the Merit-based Incentive Payment System (MIPS) in ...

Preliminary 2018 MIPS Performance Feedback Data Now Available

The data submission period for the 2018 Merit-based Incentive Payment System (MIPS) closed on April 2, 2019. The Centers for Medicare and Medicaid Services (CMS) is currently reviewing all submitted data. If data was submitted through the Quality Pay...

CMS Podcast on 2019 Quality Conference Now Available

The Centers for Medicare and Medicaid Services (CMS) posted episode two of their recently created podcast. This episode highlights some of the key perspectives from participants at the 2019 CMS Quality Conference in Baltimore, Maryland. The 2019 CMS ...

CMS Hosts Additional Webinars on MIPS and MACRA Measures

Title: MIPS Data Submission for Year 2 (2018) of the Quality Payment Program Office Hours – Session 2 Date: March 19, 2019 Time: 2 to 3 pm ET Registration Link: https://engage.v...

Annual Call for MIPS Quality Measures is Open

The Centers for Medicare and Medicaid Services (CMS) invites eligible clinicians, professional associations and medical associations to submit quality measures for consideration for future years of the Merit-based Incentive Payment System (MIPS). The...

CMS Solicits Recommendations on New Measure Sets for MIPS and Comments on Existing Measure Sets

The Centers for Medicare and Medicaid Services (CMS) is soliciting recommendations on new measure sets for the quality performance category and/or revisions to existing specialty measure sets for the quality performance category for program year 2020...

CMS Hosts Webinar on ESRD Quality Incentive Program

The Centers for Medicare and Medicaid Services (CMS) will host a webinar on January 15 from 2 to 3 pm ET on the End-Stage Renal Disease (ESRD) Quality Incentive Program (QIP). The ESRD QIP changes the way CMS pays for the treatment of patients with E...

CMS Releases MUC List

On December 30, 2018, the Centers for Medicare and Medicaid Services (CMS) released the Measures Under Consideration (MUC) list for 2018. The pre-rulemaking process requires that the US Department of Health and Human Services (HHS) make publicly avai...

Call for Comments: MIPS Outcome Measures

The Centers for Medicare and Medicaid Services (CMS) is soliciting comments on two inpatient quality measures they are adapting for the Merit-based Incentive Payment System (MIPS):