Quality Metrics & MIPS/CMS
Expert articles and analysis related to quality metrics & mips/cms.
AI Summary â Last 30 Days
CMS, under the Trump administration, is advancing significant structural changes in value-based care with the nationwide, mandatory CJR-X bundled payment model for joint replacements, set to hold hospitals broadly accountable for total episode spending and post-acute outcomes beginning October 2027 (Beckerâs ASC; Hall Render). Simultaneously, CMSâs 150-participant voluntary ACCESS model tests whether lower-than-expected lean payments and digital health partnerships can drive chronic disease outcomes, reflecting a strategic tension between mandatory, hospital-based cost control (CJR-X) and voluntary, tech-enabled care transformation (Healthcare IT News). These rapid model launches indicate CMS's dual-track approachâexpanding risk-bearing, outcome-oriented payment models while leveraging new technology and care coordination strategies in chronic and episodic care.
Related Articles
HEDISÂź Risk-Adjusted Utilization Tables: New Measures, Shared Table Updates and FAQs
The Risk Adjusted Utilization (RAU) Tables and HEDISŸ MY 2026 Volume 2 Risk Adjusted Utilization Tables User Manual were released on March 31. These resourcesâavailable through the NCQA storeâprovide ...
Quality Improvement
How Medicareâs MIPS impacts skilled nursing facilities and clinicians
Most skilled nursing facility leaders understand the quality measures that affect their operations. They live with Star ratings and Quality Reporting Program requirements every day. What is less visib...
The Future of Quality in Medicare and Medicaid: Themes from the CMS Quality Conference
Digital Quality Measure (dQM) Reporting Readiness Guide - wpcdn.ncqa.org
Digital Quality Measure (dQM) Reporting Readiness Guide  wpcdn.ncqa.org
Optimizing Quality Measures to Advance Behavioral Health Integration
Explore how states use quality measures to advance behavioral health integration, improve care alignment, and support value-based payment strategies. The post Optimizing Quality Measures to Advance Be...
Understanding MIPS 2026: Key Changes Ahead
Understanding MIPS 2026: Key Changes Ahead  EIN News
MIPS update, with 'MIPS Geek Guru' Holly Black of Sightview
MIPS update, with 'MIPS Geek Guru' Holly Black of Sightview  Medical Economics
Living with numbness after mastectomy: the unseen impact on survivorship
For years, I have heard breast cancer survivors share a common refrain: âI expected to lose my breasts. I did not expect to lose the ability to feel.â Yet in exam rooms across the country, persistent ...
Joint Commission launches outcome-driven certifications on perinatal care, cardiac procedures
Joint Commission launches outcome-driven certifications on perinatal care, cardiac procedures  American Hospital Association