Quality Metrics
Expert articles and analysis related to quality metrics.
AI Summary — Last 7 Days
CMS’s quality-measurement agenda is putting concrete pressure on VBC infrastructure: MSSP ACOs are now facing a 2027–2030 roadmap toward FHIR-based digital quality measurement, making EHR interoperability, data governance, and measure-production workflows near-term strategic priorities rather than back-office compliance tasks (Wakely). At the same time, Medicare Advantage Star Ratings remain legally and financially unsettled, with ACHP urging CMS to extend a 2026 “hold harmless” approach into 2027 amid the Clover litigation—underscoring payer concerns that quality-score methodology volatility can materially affect revenue, bids, and benefit design. Equity is also re-emerging as a quality-design issue, as new analysis finds Black and Hispanic Medicare beneficiaries underrepresented in value-based payment models, raising pressure on CMS, ACOs, and MA plans to align participation, attribution, and performance measurement with population-health access goals (AJMC).
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