Quality Measures
Expert articles and analysis related to quality measures.
Related Articles
Elevance sues CMS after Medicare Advantage stars recalculation
Regulators recalculated plans’ quality scores last month after losing a lawsuit to Clover Health. But they used a different methodology for Clover than its peers, causing Elevance to lose out on $115 ...
Medicare Will Spend More Than $13 Billion on the Medicare Advantage Quality Bonus Program in 2026
The Medicare program will spend at least $13 billion on the Medicare Advantage quality bonus program in 2026, as 68% of Medicare Advantage enrollees are in a plan that qualifies for higher payments un...
Post-Clover and 2027 QBP Re-Calculation: What Could Be Next for MA Stars?
Overwhelmed ACOs: House aims to simplify quality reporting requirements
Overwhelmed ACOs: House aims to simplify quality reporting requirements Medical Economics
Overwhelmed ACOs: House aims to simplify quality reporting requirements
Medicare Advantage bonuses will exceed $13B this year, KFF finds
Medicare is spending more on quality bonuses despite fewer enrollees in eligible plans, the health policy research group said — a concerning trend putting more stress on Medicare’s coffers that could ...
Rethinking Coding and Documentation in a Value-Based Care Environment
How to Embed Person-Centered Outcomes Into Your Quality Strategy
How to Embed Person-Centered Outcomes Into Your Quality Strategy NCQA
new KFF analysis
From newsletter: Spending on Medicare Advantage Quality Bonus Program Will Total $13.4 billion in 2026 Federal Spending on the Medicare Advantage Quality Bonus Program Will Total $13.4 billion in 20...
Avoiding Payment Penalties and Maximizing Reimbursement: The Revenue Strategy Health Systems Can’t Afford to Miss
Hospitals are under growing pressure as payment programs shift toward value-based models that leave less room for error. The organizations that stand to benefit most are those that recognize a broader...