Find-A-Code Focus Newsletter

CMS Releases Core Quality Measures for 7 Specialties

By Wyn Staheli
April 18, 2016

On February 16, 2016, CMS, in conjunction with major commercial health plans and physician groups, released the first set of core measures, which will be used as the basis for quality-based payments. Part of the MACRA - SGR repeal was to begin to implement payment systems based on quality measures rather than the previous PPS system. This announcement marks the beginning of this process.

CMS worked with Americas Health Insurance Plans (AHIP) and "a broad collaborative of health care system participants" to create quality measures which they feel will "support multi-payer alignment, for the first time, on core measures for physician quality programs. The core measure sets are intended to promote alignment of quality measures for the practitioner community (e.g., physicians) or group practice level accountability."

According to the announcement, the seven core measure sets are:

  • Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMHs), and Primary Care
  • Cardiology
  • Gastroenterology
  • HIV and Hepatitis C
  • Medical Oncology
  • Obstetrics and Gynecology
  • Orthopedics

Providers in these areas should take the time to review these measures regardless of their Medicare provider status. These measures were designed in conjunction with other payers so they are likely to be implemented as part of physician quality and performance reviews by many payers.

References:


share
 

More Items in April 2016


To view more items select a month from our "Items by Month" list.

Or view documentation, coding and billing articles.

 
News Items by Month
February 2022- 1
2021 - View
2020 - View
2019 - View
2018 - View
2017 - View
2016 - View
2015 - View
2014 - View
2013 - View
2012 - View
2011 - View
2010 - View
2009 - View
2008 - View
demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.