Hospitals have until June 1 to preview their Overall Hospital Quality Star Rating, measure group score, individual measure results, and peer grouping.
view more »CMS Updates QAPI Program Evaluation Guidance
March 13, 2023 ||The updated guidance highlights the importance of sustaining a QAPI program over time and increasing engagement by the hospital’s governing body.
view more »Association Comments on CY 2023 OPPS Proposed Rule
Sept. 20, 2022 ||America's Essential Hospitals urges CMS to swiftly restore full Medicare Part B drug payment rates for hospitals in the 340B Drug Pricing Program and define a select group of hospitals with a safety net mission.
view more »Care Compare October 2022 Preview Reports Available
Aug. 8, 2022 ||Health care providers have until Aug. 30 to download their preview reports before CMS shares quality data publicly in October.
view more »CMS Releases July 2022 Overall Hospital Star Ratings
Aug. 2, 2022 ||This is the second star ratings update since the agency updated its methodology in 2020 to include the use of peer grouping.
view more »Hospitals have until June 16 to preview their Overall Hospital Quality Star Rating, measure group score, and individual measure results, along with peer grouping.
view more »CMS Delays Hospital Star Ratings Update Until July
Feb. 15, 2022 ||Due to a calculation error in measure results used for calendar year 2021 public reporting, the Centers for Medicare & Medicaid Services has delayed until July the overall hospital star ratings update originally scheduled for April.
view more »Association Comments on CY 2022 OPPS Proposed Rule
Sept. 21, 2021 ||In response to the calendar year 2022 Outpatient Prospective Payment System proposed rule, America's Essential Hospitals urged CMS to halt elimination of the inpatient-only list and to restore adequate payment to hospitals in the 340B program and to off-campus provider-based departments.
view more »Association Comments on FY 2022 IPPS Proposed Rule
June 29, 2021 ||America's Essential Hospitals commented on several policy proposals of interest to essential hospitals in the Inpatient Prospective Payment System rule and responded to a request for information on closing the health equity gap in hospital quality programs.
view more »A proposed rule from CMS includes numerous changes for Medicare’s Inpatient Prospective Payment System for fiscal year 2022, including a 2.8 percent increase in inpatient payment rates and updates to quality reporting programs and the Medicare Shared Savings Program.
view more »Overall Hospital Star Ratings Updated on Care Compare
May 3, 2021 ||The Centers for Medicare & Medicaid Services published updated overall hospital quality star ratings on its Care Compare website; the ratings were last updated in January 2020. America's Essential Hospitals has expressed continued concern about the fairness and reliability of the ratings.
view more »CMS Releases Hospital Star Rating April Preview Reports
Feb. 2, 2021 ||Hospitals have 30 days to review their reports before public reporting to Care Compare.
view more »OPPS Final Rule Continues 340B, Site-Neutral Cuts
Dec. 4, 2020 ||The Medicare Outpatient Prospective Payment System final rule for calendar year 2021 continues cuts to hospitals in the 340B Drug Pricing Program and off-campus provider-based departments, and updates the overall hospital star ratings methodology.
view more »Association Comments on CY 2021 OPPS, PFS Proposed Rules
Oct. 13, 2020 ||The proposed rules would deepen Medicare Part B cuts to hospitals in the 340B Drug Pricing Program, continue site-neutral payment policies, and revise the overall hospital star rating methodology. The association urged CMS to protect funding for essential hospitals and access to care.
view more »In this second report on the topic, the agency describes three findings: there is no systematic or standard collection of social risk data; dual enrollment in Medicare and Medicaid remains a predictor of poor outcomes; and there are limited efforts to identify effective and scalable interventions.
view more »On the Hill: COVID-19 Response, Star Ratings Letter
March 10, 2020 ||Both chambers passed a bill providing more than $8 billion to combat the new coronavirus; House leaders now are discussing legislation to mitigate economic impacts associated with the virus. A Senate letter calling to incorporate social determinants into hospital star ratings closes tomorrow.
view more »On the Hill: Responding to Coronavirus Outbreak
March 3, 2020 ||Congressional leaders are holding several hearings to inform their COVID-19 response and negotiating legislation that could provide up to $8 billion in emergency supplemental funding to respond to the outbreak.
view more »On the Hill: Budget Hearings, Star Ratings Letter
Feb. 25, 2020 ||HHS Secretary Alex Azar will discuss the president's proposed fiscal year 2021 budget at several congressional hearings. A bipartisan Senate letter calls for incorporating social determinants into star ratings. A new association work group focuses on the Medicaid Fiscal Accountability Regulation.
view more »CMS Disappoints with Decision to Publish Flawed Star Ratings
Jan. 29, 2020 ||Health care consumers need accurate, relevant information to make the best care decisions; the current star ratings do not meet this need. The ratings rely on a methodology that fails to account for differences among hospitals and, therefore, could mislead rather than inform consumers.
view more »Researchers studied 3,608 hospitals nationwide, examining the associations between neighborhood social risk factors and seven CMS quality domains.
view more »The final rules for Medicare’s Outpatient Prospective Payment System and Physician Fee Schedule for calendar year 2020 also expand access to opioid use disorder treatment and establish a prior authorization process for certain services.
view more »Hospital Compare January Preview Reports Include Star Ratings
Nov. 5, 2019 ||Health care providers have until Dec. 3 to download their preview reports, which include overall hospital quality star ratings.
view more »Quality Reporting Exceptions to Providers Affected by Hurricane Barry
Sept. 17, 2019 ||Facilities located in areas designated as emergency or major disaster areas will be exempt from provisions of Medicare quality reporting programs.
view more »An NEJM Catalyst article assesses four public hospital quality reporting programs' ability to classify hospital performance.
view more »Hospital Compare July Preview Reports Available
April 23, 2019 ||Hospitals in the Inpatient Quality Reporting, Prospective Payment System–Exempt Cancer Hospital Quality Reporting, and Hospital Outpatient Quality Reporting programs can view their preview reports through May 21.
view more »CMS Updates Overall Hospital Star Ratings, Proposes Future Changes
Feb. 28, 2019 ||The agency posted potential changes to the star ratings program for public comment, including potential hospital peer grouping.
view more »America’s Essential Hospitals and three other national hospital groups urged the Centers for Medicare & Medicaid Services to postpone its February publication of overall hospital star ratings.
view more »Hospital Compare February Preview Reports Now Available
Dec. 6, 2018 ||Hospitals have until Dec. 30 to preview their quality data before it is published on the Hospital Compare website in February 2019.
view more »CMS Launches New Hospital Quality Reporting Platform
Nov. 26, 2018 ||The agency will hold educational webinars to help health care providers understand the new user interface for Hospital Compare preview reports.
view more »OPPS Final Rule Extends Site Neutral, 340B Cuts
Nov. 2, 2018 ||The Medicare Outpatient Prospective Payment System final rule for calendar year 2019 broadens the scope of cuts to hospitals in the 340B Drug Pricing Program and to off-campus provider-based departments; in a statement, the association strongly objected to these additional payment cuts.
view more »Hospital Compare October Preview Reports Available
July 31, 2018 ||Hospitals have until Aug. 25 to preview their quality data before publication on the Hospital Compare website in October.
view more »CY 2019 OPPS Proposed Rule Extends Site Neutral, 340B Cuts
July 26, 2018 ||A new proposed rule for Medicare’s Outpatient Prospective Payment System would broaden the scope of cuts to hospitals in the 340B Drug Pricing Program and to off-campus provider-based departments; it also contains provisions related to quality reporting and transparency.
view more »Hear how experts at Carilion Clinic created a Quality Performance Indicator Database to standardize and disseminate data and reduce preventable harm.
view more »Responding to concerns raised by America’s Essential Hospitals and other stakeholders, the Centers for Medicare & Medicaid Services has announced it will postpone the July public release of overall hospital star ratings.
view more »Statement on CMS Decision to Postpone Hospital Star Ratings
June 12, 2018 ||The agency says postponing the July release will allow additional time to analyze the impact of changes to some measures.
view more »Hospital Compare July Preview Reports Available
May 8, 2018 ||Hospitals have until June 2 to preview their quality data before it is published on the Hospital Compare website in July.
view more »HRRP Early Look Hospital-Specific Reports Released
April 2, 2018 ||The reports provide estimated hospital-level proportions of dual-eligible patients, peer group assignments, and payment adjustment information using the program's new stratified methodology.
view more »MIPS Quality Reporting Data Due in March
Feb. 13, 2018 ||Group reporting through the Centers for Medicare & Medicaid Services web interface must be completed by March 16; all other Merit-based Incentive Payment System data must be submitted by March 31.
view more »Hospital Compare Preview Reports Now Available
Feb. 5, 2018 ||Hospitals have until March 2 to preview their quality data before it is published on the Hospital Compare website in April.
view more »QPP Hardship Exception Applications Due Oct. 1
Sept. 18, 2017 ||Merit-based Incentive Payment System–eligible clinicians and groups may apply for hardship exceptions due to connectivity issues or extreme circumstances, such as disasters.
view more »Association Comments on Proposed 2018 Physician Fee Schedule
Sept. 12, 2017 ||The proposed rule would further cut payments to non-excepted provider-based departments to 25 percent of the Medicare Outpatient Prospective Payment System rate and change certain quality reporting requirements.
view more »Applications Open for 2017 QPP Hardship Exception
Aug. 7, 2017 ||Exceptions are available for Merit-based Incentive Payment System eligible clinicians and groups that experienced insufficient internet connectivity, uncontrollable circumstances, or other issues; applications are due Oct. 1.
view more »CMS Tool Identifies Clinicians’ MIPS Participation Status
May 11, 2017 ||Clinicians enter their national provider identifier into the tool to determine whether they must submit data to the merit-based incentive payment system.
view more »CMS Posts eCQM Annual Update
May 9, 2017 ||The update for the 2018 performance year aligns electronic clinical quality measure specifications with current clinical guidelines and code systems.
view more »Review Periods Open for Quality, Value-Based Purchasing Reports
April 11, 2017 ||Hospitals have until May 5 to review overall Hospital Compare star rating and until May 10 to review value-based purchasing hospital-specific reports.
view more »CMS Updates Hospital Compare Data
Dec. 20, 2016 ||CMS on Dec. 19 refreshed its Hospital Compare site, including data on the Ambulatory Surgical Center Program, Hospital Readmission Reduction Program & more.
view more »Under the rule, CMS would increase the OPPS payment rate by 1.65 percent and provide flexibility in the meaningful use of EHRs, among other things.
view more »Hospitals Can Use NHCS Data to Meet Meaningful Use
Oct. 4, 2016 ||Hospitals and eligible professionals now can register to submit National Health Care Survey data in 2017.
view more »Medicare ACOs Continue Quality Improvement, Savings
Aug. 30, 2016 ||Hospitals and other providers generated more than $466 million in savings in 2015 through participation in Medicare accountable care organizations (ACOs).
view more »CMS Issues FY 2017 IPPS Final Rule
Aug. 3, 2016 ||The rule includes the annual payment update to inpatient payment rates and changes to the Medicare disproportionate share hospital payment methodology.
view more »CMS Releases National Distribution Data for Star Ratings
July 22, 2016 ||The agency analyzed how subsets of hospitals, including those defined as a safety net, performed in the overall hospital star rating system.
view more »Report IDs Social Risk Factor Criteria for Medicare Payments
July 20, 2016 ||The report aims to identify social risk factors that affect beneficiaries' health outcomes and methods to account for these factors in payment programs.
view more »CMS Reloads Star Ratings Reports to QualityNet
June 28, 2016 ||The overall star rating hospital-specific reports will be available to hospitals for 30 days, starting from the June 22 reload date.
view more »In comments to CMS, America's Essential Hospitals argues for a delay to re-evaluate ratings methodology changes and the potential to disproportionately disadvantage essential hospitals.
view more »Overall Hospital Star Rating Reports Now Available
Jan. 27, 2016 ||Previews of reports, to be published online in April, available now through QualityNet Secure Portal; final methodology includes 60 measures from inpatient and outpatient quality reporting programs.
view more »CMS Extends Electronic Quality Reporting Deadlines
Dec. 2, 2015 ||Eligible hospitals have until Dec. 31 to submit data through QualityNet for the Inpatient Quality Reporting and Medicare Electronic Health Record Incentive programs.
view more »The Hospital Readmissions Reduction Program: Four Years of Data
Nov. 30, 2015 ||Essential hospitals 2.67 times more likely than other hospitals to receive penalties under Medicare readmissions program in FY 2016
view more »CMS to Address Questions on Bundled Payment Model
Nov. 20, 2015 ||Agency to host Nov. 30 webinar to provide information and answer questions about the bundled payment model for hip and knee replacement.
view more »Changes include reducing OPPS payment by 0.3 percent, relaxing two-midnight policy requirements, and updating OQR measures.
view more »CMS Extends Physician Payment Reform Comment Deadline
Oct. 21, 2015 ||Feedback due Nov. 17 on provisions to implement MIPS and APM participation incentives; MIPS quality measures of particular interest to hospitals
view more »CMS to Host Call on Quality Report Dry Run for IRFs
Oct. 19, 2015 ||Oct. 20 call to discuss dry run quality report for inpatient rehabilitation facilities based on the all-cause unplanned readmission measure
view more »Essential Hospitals Face Larger VBP Penalties
Oct. 5, 2015 ||These findings come from GAO, which also found that essential hospitals narrowed this gap over the study, overall performance during VBP's initial years didn't change, and bonuses and penalties were less than 0.5 percent of Medicare payments per year.
view more »CMS Seeks Comments on Physician Payment Reforms
Sept. 30, 2015 ||CMS requests feedback on a range of provisions relating to MIPS and incentives for participation in APMs, including whether to stratify quality measure data by demographic factors.
view more »Partnership for Medicaid Discusses the Future on Capitol Hill
Sept. 29, 2015 ||The briefing included a panel of four experts serving different Medicaid populations who spoke about continuing to strengthen the program and the role of Medicaid expansion in increasing access to care.
view more »Hospitals: New HAC Reports Correct Error
Sept. 23, 2015 ||Reports previously excluded the first six months of 2014 data on SSIs, which may have impacted payment adjustment and quality measure results. CMS has opened a second review and correction period.
view more »Hospitals: Review Quality Measure Reports by Oct. 7
Sept. 23, 2015 ||The dry run reports are for a new claims-based outcomes measure that will be included in the IQR Program starting in fiscal year 2018. Hospitals have until Oct. 7 to access this report through QualityNet.
view more »Association calls on CMS to consider the readiness of essential hospitals and challenges of caring for the vulnerable, and risk-adjust for SDS, in finalizing its proposed rule for new CCJR payment model.
view more »Association Highlights Underserved in 2016 OPPS Comments
Sept. 1, 2015 ||In comments on the CY 2016 OPPS proposed rule, the association calls on CMS to consider the unique challenges of caring for the most vulnerable, including in relation to the two-midnight policy and ambulatory payment classification.
view more »Association to CMS: Risk-Adjust Stroke Measures for SDS
Aug. 31, 2015 ||CMS is proposing to risk adjust stroke mortality measures for stroke severity, which is a positive step. But measures should also account for sociodemographic factors that complicate care for vulnerable patients.
view more »Medicare ACOs Improve Quality, Save Money
Aug. 28, 2015 ||Pioneer and MSSP ACOs showed improvement in at least 27 of 33 quality measures in last reporting period. More than 420 Medicare ACOs have been established, coordinating care for more than 7.8 million patients.
view more »The Joint Commission Suspends Top Performer Quality Measures Program
Aug. 26, 2015 ||The program will be re-evaluated, as changes to quality measures, including the transition to eCQMs and movement away from chart-based measures, has made it difficult to compare hospitals and identify top performers.
view more »Association Comments on Overall Star Rating System
Aug. 18, 2015 ||Comments call on CMS to ensure ratings are meaningful and accurate, avoid consumer confusion, and reflect vulnerable patients' socioeconomic and demographic circumstances.
view more »CMS Extends Hospital Inpatient Quality Reporting Deadline for HAIs
Aug. 12, 2015 ||Extension to Aug. 28 applies only to quality reporting on health care-associated infections (HAIs), not clinical data submissions through QualityNet.
view more »Hospital Groups: Make Meaningful Use Provisions Final
Aug. 12, 2015 ||America's Essential Hospitals joins other associations in calling for final action on a 90-day reporting period for 2015, but warns that the delay in a final rule has made other requirements impossible to achieve.
view more »CMS to Hospitals: Review Your Overall Star Rating Report
Aug. 3, 2015 ||Hospitals in the overall quality rating system dry run can provide feedback until Aug. 17 and weigh in during the Aug. 13 call.
view more »Association Comments on Managed Care Proposed Rule
July 29, 2015 ||Comments urge CMS for flexibility, the allowance of certain direct payments, and regulations that reflect states' ability to achieve broader policy goals through the Medicaid Program.
view more »Dry Run and Provider Call for Overall Hospital Star Rating System
July 21, 2015 ||Hospitals participating in CMS' dry run of its new overall quality rating system are encouraged to provide feedback and ask questions via email and during the Aug. 13 call.
view more »Proposed CCJR model would bundle Medicare payments to acute care hospitals for hip and knee replacement surgery in 75 metropolitan statistical areas; hospitals would be held financially accountable for meeting quality and cost targets for entire episode of care.
view more »CMS to Host Call on Hospital Star Rating Methodology
June 9, 2015 ||The June 24 call will discuss methodology for the overall star rating, hospital-specific reports, and lessons learned from testing.
view more »CMS to Discuss Updated Quality Reporting Measures June 4
June 1, 2015 ||The call will discuss updates to electronic clinical quality measures (eCQMs) used in quality reporting programs and the impact of their implementation for providers and quality leaders.
view more »CMS to Host FY 2016 IPPS Proposed Rule Webinar
May 19, 2015 ||May 29 webinar will focus on quality reporting program proposals, impact of changes to HAC Reduction Program and Hospital Readmissions Reduction Program.
view more »Pioneer ACOs See Big Savings, Will Expand beyond Pilot
May 8, 2015 ||The model saved $384 million over a two-year time period and is the first alternative payment pilot to meet criteria for expansion to additional sites.
view more »CMS Updates Electronic Clinical Quality Measures
May 5, 2015 ||The updates are for 2016 pay-for-performance programs to improve alignment with the latest clinical guidelines.
view more »CMS to Discuss Pay for Performance Programs May 12
May 5, 2015 ||The national provider call will cover alignment and goals for a number of Medicare pay-for-performance programs, including the Inpatient Quality Reporting Program and the Value-Based Purchasing Program.
view more »IOM Proposes Standardized Quality Reporting Measures
May 5, 2015 ||IOM recommended a set of 15 core measures to be used across federal quality reporting programs to reduce the administrative reporting burden, allow for nationwide comparisons, and more.
view more »May 15 Reporting Deadline on Select Quality Measures
April 27, 2015 ||Inpatient rehabilitation and long-term acute care facilities must submit data to the NHSN on select infections and influenza vaccinations.
view more »CMS Launches HCAHPS Five-Star Quality Ratings
April 19, 2015 ||CMS added five-star quality ratings based on the HCAHPS patient satisfaction survey to its Hospital Compare website.
view more »Health Affairs Blog Focuses on Medicaid Quality Reporting
April 14, 2015 ||America's Essential Hospitals President and CEO, other Partnership for Medicaid co-chairs, call partnership proposal the answer to lack of comprehensive, standardized reporting framework
view more »CMS Reports Progress Toward Triple Aim
March 10, 2015 ||National impact assessment finds 95 percent of 119 studied quality measures improved during the 2006 to 2012 study period
view more »Study: Consistency, Transparency Lacking in Hospital Ratings
March 9, 2015 ||Findings suggest variation among four national hospital ratings systems decreases value to consumers and providers
view more »Brief finds that hospitals with more than 400 beds, teaching hospitals, those treating complex patients, and essential hospitals more likely to receive penalties; no evidence that penalties align with outcomes
view more »CMS Extends Meaningful Use, eCQM Deadlines to Dec. 31
Nov. 25, 2014 ||Hospitals must prove meaningful use in 2014 to receive a 2014 incentive payment and avoid a 1 percent payment adjustment in 2016.
view more »CMS to Host Call on HCAHPS Quality Rating System
Sept. 30, 2014 ||The national provider call will be held Wednesday, Oct. 8, 1:30 – 3 pm ET.
view more »On the Hill: Federal Spending, Postacute Care, Children’s Health, Antibiotics, Ebola
Sept. 23, 2014 ||Congress concluded business until after the Nov. 4 election, passing legislation to fund the government through Dec. 11. Bills funding children's health services and addressing postacute care quality were also sent to the president's desk.
view more »Momentum for Socioeconomic Factors in Quality, Performance Measures
Sept. 11, 2014 ||Recent work by National Quality Forum to adjust quality and performance measures for social determinants of health of particular significance to essential hospitals, which disproportionately care for sicker, more complex patients
view more »CMS to Launch Five-Star Quality Ratings for HCAHPS
Sept. 9, 2014 ||Ratings will start with the April 2015 release of Hospital Compare data. Dry run will occur between Sept. 15 and Oct. 14.
view more »America’s Essential Hospitals Supports CHIP Extension
Sept. 3, 2014 ||The association sent a support letter to House Energy and Commerce ranking members commending their effort to extend CHIP through FY 2019. The proposed legislation would also extend Medicaid primary care payments and bolster quality measures.
view more »CMS Delays Sepsis Quality Measure
Aug. 27, 2014 ||Data collection for a chart-abstracted sepsis measure is delayed until further notice based on an NQF recommendation.
view more »CMS Seeks Nominees for Technical Expert Panels
Aug. 26, 2014 ||CMS is compiling three TEPs to provide technical input to CMS contractors on the development, selection, and maintenance of quality measures. Nominations are due Sept. 12 and Sept. 19.
view more »CMS Offers Quality Measures Reporting Resource
Aug. 18, 2014 ||Interactive resource for eligible hospitals participating in the Medicare Electronic Health Care Record (EHR) Incentive Program will help hospitals report clinical quality measures for 2014.
view more »Update: CMS Quality Reporting Deadline
Aug. 14, 2014 ||Data entry deadline has passed, contact National Healthcare Safety Network help desk for questions or assistance
view more »NQF Approves Trial of Sociodemographic Risk Adjustment
July 25, 2014 ||NQF board adopts recommendation to assess sociodemographic risk adjustment of certain quality measures during a trial period.
view more »MAP Seeks Comments on Quality Measures Review
July 15, 2014 ||MAP released a draft report reviewing the core set of health care quality measures for adults enrolled in Medicaid and is accepting comments until July 30.
view more »CMS Announces Star Ratings for Quality Comparison
July 8, 2014 ||CMS will introduce star ratings to Hospital Compare, Dialysis Facility Compare, and Home Health Compare as part of an effort to make information on quality of care easier to understand and compare.
view more »CMS Invites Comments on Readmissions Quality Measure
July 8, 2014 ||CMS is inviting interested stakeholders to review and comment on a hospitalwide all-cause unplanned readmission hybrid electronic clinical quality measure.
view more »Call for Input: LTCH Quality Reporting Program
July 8, 2014 ||CMS seeks perspectives on strengths and weaknesses of the program and processes surrounding data accuracy.
view more »MBN Reporting Requirement to Begin July 1
June 24, 2014 ||Acute care facilities that participate in the Hospital Inpatient Quality Reporting Program must enter Medicare beneficiary numbers on event records for all Medicare patients into the National Healthcare Safety Network, beginning July 1.
view more »Sen. Manchin Introduces Readmissions Bill
June 24, 2014 ||The bill would require the Centers for Medicare & Medicaid Services to consider socioeconomic status of hospital patient populations in its calculation of penalties under the Hospital Readmissions Reduction Program.
view more »CMS Calls for Feedback on Quality Reporting Guide
June 16, 2014 ||CMS has released a call for feedback on the June 10 draft quality reporting document architecture guide for eligible professionals and hospitals to use for 2015 clinical quality measure reporting. Feedback is due June 27.
view more »CMS to Conduct Nationwide Survey of Medicaid Enrollees
June 16, 2014 ||A nationwide survey of adult Medicaid enrollees will be conducted this fall. Results will identify state-specific and nationwide measures of health care access, barriers to care, satisfaction with providers, and patient experiences with Medicaid managed care and fee-for-service providers.
view more »CMS Urges QualityNet Secure Portal Registration
June 10, 2014 ||CMS is urging hospitals to register soon for the QualityNet Secure Portal to ensure access on July 1 to meet reporting requirements for the Hospital Inpatient Quality Reporting and Hospital Outpatient Quality Reporting Programs.
view more »CMS Finalizes Marketplace and Insurance Market Standards
May 20, 2014 ||CMS issued a final rule Friday, May 16, on 2015 standards for health insurance marketplaces and the insurance market. Among other provisions, CMS finalized measures for a quality rating system that would require health insurance issuers operating through the marketplaces to collect, validate, and report data on quality metrics for qualified health plans.
view more »Association Comments on Marketplace Quality Rating Standards
April 22, 2014 ||The association said that CMS should implement the QRS in a way that protects consumer access to ECPs in the marketplaces. It also urged CMS to ensure the measures used in the QRS are endorsed by the National Quality Forum and risk adjusted for socioeconomic factors.
view more »Association Comments on NQF’s Risk-Adjustment Recommendations
April 21, 2014 ||America's Essential Hospitals supports NQF's recommendations to adjust some health care performance measures for sociodemographic factors.
view more »Reminder: Enroll in QualityNet Secure Portal by May 1
April 14, 2014 ||Starting July 1, IQR and OQR data must be submitted through the secure portal. CMS encourages hospitals to enroll in the portal and complete the identity proofing process by May 1.
view more »CMS Delays ASC and OQR Cataract Measure
April 8, 2014 ||The measure, OP-31/ASC-11, is part of the ASC Quality Reporting Program and the OQR Program. Data collection, which was scheduled to begin April 1, will now begin Jan. 1, 2015. America's Essential Hospitals successfully encouraged CMS to delay the measure, arguing the measure was not properly tested for the ASC and outpatient settings.
view more »CMS Posts eCQM Annual Update
April 8, 2014 ||As part of the meaningful use program, participating hospitals must report data for eCQMs that cover three of six National Quality Strategy domains. The original eCQM specifications were released in 2012 and are updated annually.
view more »A recent National Quality Forum draft report discusses whether performance measures used in accountability applications, such as pay-for-performance or public reporting, should be adjusted for socioeconomic factors when determining results; share your comments.
view more »CMS Proposes Marketplace Quality Standards
March 25, 2014 ||CMS proposes that QHP issuers collect enrollee satisfaction data for certain QHPs. This data will be one of the components used to determine QHP quality ratings. America's Essential Hospitals will submit comments on CMS' proposal for collecting enrollee satisfaction data.
view more »Comments Needed on NQF Draft Report on Risk Adjustment for Sociodemographic Factors
March 20, 2014 ||NQF makes eight recommendations to enhance the ability of policymakers and consumers to make accurate conclusions about the quality of care and prevent unintended consequences, such as a worsening of care disparities. Members are encouraged to submit comments by April 16.
view more »Partnership for Medicaid Releases Quality Proposal
March 19, 2014 ||The proposal calls for a common, mandatory set of Medicaid quality measures to be reported by all states. Panelists discussed the importance of the Medicaid program and the need strengthen and improve it.
view more »NQF Proposes Sociodemographic Risk Adjustment, Comments Encouraged
March 19, 2014 ||NQF recommends adjusting some health care performance measures to account for sociodemographic risk factors. Members are encouraged to submit comments on the draft recommendations by April 16.
view more »CMS to Host Medicare Quality Reporting Call
March 11, 2014 ||CMS will host a National Provider Call March 18, from 1:30 to 3 pm Eastern time, on 2014 Medicare quality reporting programs. During the call, officials will provide an overview of how to report quality measures in various Medicare programs, including those for electronic health records incentives and accountable care organizations.
view more »CMS Urges Enrollment in QualityNet Secure Portal by May 1
Feb. 21, 2014 ||Starting July 1, IQR and OQR data must be submitted through the secure portal. CMS encourages hospitals to enroll in the Secure Portal and complete the identity proofing process by May 1.
view more »Pioneer ACOs Improve Quality, Mixed on Lowering Costs
July 23, 2013 ||CMS says all 32 pioneer ACOs improved quality, performed better than published rates in fee-for-service Medicare
view more »CMS Releases FY 2014 IPPS Proposed Rule
May 2, 2013 ||Rule includes proposed formula to make Medicare DSH reductions under ACA
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