tci Medicare Compliance & Reimbursement - 2005 Issue 21
HOSPITALS: Project Progressing: CMS Touts P4P Demo
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Article Overview
This article summarizes early progress in a Medicare hospital pay-for-performance demonstration project and discusses preliminary quality-of-care findings reported by CMS and Premier, Inc. It is relevant to hospital leaders, quality improvement staff, and healthcare reimbursement readers who follow CMS initiatives, hospital performance measurement, and demonstration projects.
Why This Topic Matters
It highlights an early CMS quality incentive initiative and shows how hospitals’ measured performance is being tracked across several inpatient care areas. Readers interested in Medicare policy, hospital quality reporting, and payment reform can use it to understand the scope of the demonstration and its reported early outcomes.
What You Will Learn
- What the Medicare hospital pay-for-performance demonstration is about
- Which broad care areas were being measured in the demonstration
- How early participation and reporting were being described by CMS and Premier, Inc.
- Why quality measurement initiatives matter to hospital care and Medicare policy
Who Should Read This
- Hospital administrators
- Quality improvement professionals
- Medical coders and auditors
- Revenue cycle staff
- Healthcare policy readers
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