The Clover decision and resulting instability offer an opportunity to step back and assess how the Medicare Advantage quality ...

MELVILLE, N.Y., Jan. 23, 2025 /PRNewswire/ -- In December 2024, the Centers for Medicare & Medicaid Services (CMS) formally approved a new quality measure developed by the Quality Team at North ...

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 ...

New research from the Harvey L. Neiman Health Policy Institute found that most Merit-Based Incentive Payment System (MIPS) quality measures designated as "topped out" by the Centers for Medicare & ...

The Medicare Access and CHIP Reauthorization Act, or MACRA, is coming soon, and with it CMS's Quality Payment Program, which requires providers who bill Medicare more than $30,000 a year to report ...

The Centers for Medicare and Medicaid Services is proposing enhancements to the Medicare Advantage and Part D Star Ratings program. Beginning in the 2027 measurement year, CMS proposes to remove ...

The Trump administration is proposing sweeping changes to Medicare payment and value-based care programs that it says will ...

The following article was written by Ann O’Neill, RN, MBA/HCM, director of clinical operations for Regent Surgical Health.By now, almost everyone in the ASC industry is aware of the new CMS quality ...

CMS is considering a proposed quality measure that would require “appropriate monitoring of patients receiving [patient-controlled analgesia].” This measure seeks to address the high number of errors ...

Physician groups said the sweeping rule is a double-edged sword, given it includes an unwelcome fee cut but positive changes to Medicare’s value-based and quality payment programs.

Medicare initially focused on cost monitoring measures when thinking about quality assurance. However, it now aims to ensure beneficiaries receive high quality, safe, impartial, and effective ...