Quality Metrics & Performance
Expert articles and analysis related to quality metrics & performance.
AI Summary — Last 7 Days
CMS quality and payment policy is moving toward tighter accountability: Premier and HCTTF are pressing CMS on the CY 2027 PFS/MSSP rule to strengthen ACO participation, primary care investment, interoperability, and burden reduction while preserving outcome accountability, signaling that provider coalitions want VBC growth but with more workable performance infrastructure (Premier comments). At the same time, Medicare Advantage plans face a tougher Stars environment after CMS draft 2027 cutpoints made roughly half of rating thresholds harder to reach, increasing pressure on plans and delegated provider groups to improve measure execution, member experience, and risk-quality alignment (Healthcare Dive). The week’s broader pattern is a sharper divide between VBC models that can demonstrate measurable quality/cost impact and those that cannot, with scrutiny of virtual CKD management outcomes, MIPS’ decade-long payment-adjustment record, and payer prior authorization rollbacks all feeding executive focus on evidence, administrative simplification, and sustainable performance economics.
Related Articles
Fixing Fragmented Quality Measures in Healthcare with Vivek Garg, MD | The ACO Show Episode 206
Fixing Fragmented Quality Measures in Healthcare with Vivek Garg, MD | The ACO Show Episode 206 Aledade
MACRA at Ten: What a Decade of MIPS Performance Data Says About Physician Payment Adjustments
MACRA at Ten: What a Decade of MIPS Performance Data Says About Physician Payment Adjustments MedicalResearch.com
Using Lab Data to Power Gains in Quality Measures and Shared Savings
Using Lab Data to Power Gains in Quality Measures and Shared Savings Modern Healthcare News
SNF QRP Monitoring & Compliance
SNF QRP Monitoring & Compliance Forvis Mazars US
ROI of Quality Performance Improvement - amga.org
ROI of Quality Performance Improvement amga.org
CKD Outcome Set Elevates Patient-Reported Measures
Create gap reports and point-of-care alerts to indicate patient vaccination needs - amga.org
Create gap reports and point-of-care alerts to indicate patient vaccination needs amga.org
CMS Issues Fiscal Year 2027 Hospice Final Rule
CMS Issues Fiscal Year 2027 Hospice Final Rule Forvis Mazars US
NKF Comments to Medicare on ESRD Payment System
NKF Comments to Medicare on ESRD Payment System National Kidney Foundation