Quality Metrics (MIPS/CMS)
Expert articles and analysis related to quality metrics (mips/cms).
AI Summary — Last 7 Days
CMS quality measurement activity concentrated on performance accountability and model refinement this week: 2024 QPP/MIPS performance preview is now open, while 2026 MIPS Value Pathway registration is beginning—keeping provider organizations focused on measure validation, specialty pathway readiness, and future payment adjustment exposure. At the model level, CMS finalized changes to the Increasing Organ Transplant Access Model, and new analysis tied the federal Home Health Value-Based Purchasing Program to reduced dementia-care disparities, reinforcing CMS’s continued use of condition- and setting-specific quality incentives to shape care delivery under the Trump administration. Meanwhile, MA Star Ratings litigation—Clover’s win against CMS—and rising scrutiny of AI-enabled prior authorization and care management show the growing tension between algorithmic utilization control, quality scoring, and patient-centered VBC performance ([QPP preview](https://news.google.com/rss/articles/CBMimAFBVV95cUxOenp2ZmE1NXdwZEhWWDF3TkxNNENJRkNTbHVibXo3akxwNU5zTE9tYURXSjNTWng4MFhWa0dSbW1Rd3RfRVNGenNPTHVtUlZKQnlwZjN0LTJ2MmNFNzBBbFpEVnVyTnVhRFN4WEhEZjctRURIaDhzNGRTVEpyOTlxcFVSejhvZ2MzWTVsU
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