decisionhealth Newsletters, Part B News - 2016 Issue 2 (February)
Plans for new quality measures revealed
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Article Overview
This article covers the early rollout of a quality measures initiative discussed by CMS and private payer stakeholders. It explains the general purpose of the program, the types of provider settings and specialties initially included, and the expected timing of implementation through payer contracts and public rulemaking. The piece is relevant to providers, quality reporting teams, and coding/compliance professionals monitoring Medicare and commercial payer quality programs.
Why This Topic Matters
Quality reporting requirements can affect provider workflows, payer contracting, and performance-based payment programs. Understanding the scope and timing of the initiative helps organizations prepare for reporting changes across multiple specialties and care settings.
Article Sections
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Quality reporting
Introduces the quality reporting burden on providers and frames the initiative as an effort to standardize measures across payers.
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Core measures collaborative announcement
Summarizes the CMS press call and stakeholder participation announcing the initiative and its initial measure categories.
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Implementation timeline
Describes the expected sequence of payer and CMS implementation activities and references the broader quality payment environment.
What You Will Learn
- The general purpose of a multi-payer quality measures initiative
- Which provider settings and specialties were initially included
- How CMS and private payers were described as approaching implementation
- Why organizations should monitor quality reporting changes
Who Should Read This
- Providers
- Quality reporting staff
- Compliance professionals
- Revenue cycle teams
- Payer contracting teams
- Medical practice administrators
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