Quality Metrics
Expert articles and analysis related to quality metrics.
AI Summary — Last 30 Days
CMS is pushing quality measurement deeper into mandatory and specialty-focused payment models, but stakeholders are pressing for more implementation runway: hospital and provider groups are urging delay of the Ambulatory Specialty Model over unresolved operational, technical, and reporting issues, even as evidence from CJR’s $180M in savings strengthens the case for broader episode-based payment expansion (CJR savings and expansion signal; ASM delay request). At the same time, Medicare Advantage star ratings litigation—including CVS/Aetna’s claimed $2B impact—shows that quality metrics are now material financial assets, while ACO stakeholders are positioning FHIR-enabled reporting as a path to reduce burden and make quality performance more real-time and operationally actionable.
Related Articles
CMS releases 2025 MIPS performance feedback and final scores
CMS Releases 2025 MIPS Final Scores; Physicians Have Limited Time to Request Review
CMS Releases 2025 MIPS Final Scores; Physicians Have Limited Time to Request Review  Michigan State Medical Society
Beyond the Scorecard: Real-Time, Patient-Centered Measurement That Clinicians Trust
Clinicians do not need more measures—they need better ones. In a keynote session at NCQA’s Health Innovation Summit, “Beyond the Scorecard: Real-Time, Patient-Centered Measurement That Clinicians Trus...
CMS releases 2025 MIPS performance feedback and final scores - American Academy of Sleep Medicine | AASM
CMS releases 2025 MIPS performance feedback and final scores  American Academy of Sleep Medicine | AASM
Quality’s Next Chapter: Vivek Garg Opens NCQA’s Health Innovation Summit With a Call to Focus, Align and “Prove it”
At the opening of the 2026 Health Innovation Summit in Atlanta, NCQA President and CEO Dr. Vivek Garg reflected on his first year leading the organization, honored the legacy of healthcare quality pio...
NCQA Data Quality Framework to Support Digital Measure Transition
NCQA Data Quality Framework to Support Digital Measure Transition  HCI Innovation Group
37 States Join CMS Initiative To Shift Medicaid Quality Measurement Toward Health Outcomes - open minds
37 States Join CMS Initiative To Shift Medicaid Quality Measurement Toward Health Outcomes  open minds
18 Health Plans Score 5 Stars On NCQA’s 2026 Health Plan Ratings, Up From 11 In 2025 - open minds
18 Health Plans Score 5 Stars On NCQA’s 2026 Health Plan Ratings, Up From 11 In 2025  open minds
Preparing for MAC QRS Reporting: A Streamlined Approach for Health Plans
Preparing for MAC QRS Reporting: A Streamlined Approach for Health Plans  NCQA
Advanced Primary Care at a Turning Point: What’s Changing, What Matters and What’s Next
Primary care is the foundation of a high-performing healthcare system, but workforce shortages, access challenges and rising costs are putting that foundation under increasing strain. That reality fra...