Quality Metrics & Performance (MIPS/CMS)
Expert articles and analysis related to quality metrics & performance (mips/cms).
AI Summary â Last 30 Days
Over the past 30 days, CMS has intensified its push toward mandatory, episode-based payment models, most notably with the proposed nationwide CJR-X bundle for joint replacements, set to begin in October 2027âmarking a significant expansion in hospital accountability for costs and quality from surgical episode through post-acute care, including coordinated home health (CMS proposes mandatory hospital-bundled model for joint replacements). Simultaneously, structural innovation is advancing in ACOs with the forthcoming LEAD Model, which eliminates rebasing and expands capitation and specialist risk-sharing, signaling a strategic shift towards greater financial risk and longitudinal population health management for participating providers (The LEAD Model: A New Chapter in Medicare Accountable Care). These changes reflect a broader federal strategyâemphasized by current CMS leadership, under Administrator Dr. Mehmet Oz and Director of CMMI Abe Suttonâof using comprehensive quality metrics and powerful payment levers to accelerate the adoption of value-based care across Medicare, reshaping how hospitals, ACOs, and specialty providers position themselves for both compliance and competitive advantage.
Related Articles
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Quality Improvement
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The Future of Quality in Medicare and Medicaid: Themes from the CMS Quality Conference
Digital Quality Measure (dQM) Reporting Readiness Guide - wpcdn.ncqa.org
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Optimizing Quality Measures to Advance Behavioral Health Integration
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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
Hospice groups ask CMS for more time to adjust to HOPE tool
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Benchmarking with Patient Outcomes â Unmasked Surgeon Comparisons within a Learning Community for Continuous Improvement
Benchmarking with Patient Outcomes â Unmasked Surgeon Comparisons within a Learning Community for Continuous Improvement  NEJM Catalyst Innovations in Care Delivery