Quality Metrics & MIPS
Expert articles and analysis related to quality metrics & mips.
AI Summary — Last 7 Days
CMS is tightening the operational link between specialty payment models and quality measurement: proposed updates to the Ambulatory Specialty Model for heart failure signal continued movement toward condition-specific accountability, while CJR-X commentary underscores a core VBC tension—hospitals bear financial risk even when independent specialists drive much of the quality and cost variation (ACC on ASM updates). At the same time, quality scoring and risk adjustment are facing renewed scrutiny, with proposals for social-risk weighting in Medicare Advantage Star Ratings and evidence on heterogeneous responses to MA risk-adjustment
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Social Risk–Weighted Scoring to Improve Medicare Advantage Star Ratings
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Majority of nursing homes under some of Virginia's biggest chains rated below average, data showed
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