The Centers for Medicare and Medicaid Services is increasing scrutiny and oversight over the country's poorest-performing nursing facilities. CMS is toughening requirements for completion to the ...

A new-look Medicare Advantage (MA) quality bonus program would better incentivize insurers and help individuals choose a more appropriate plan, a report from Urban Institute finds. Authors Robert ...

Skilled nursing facilities have an additional tool to measure their own quality improvement efforts under a new change to the quality measures rating domain. The Centers for Medicare & Medicaid ...

On January 1,the Centers for Medicare & Medicaid Services (CMS) launched their new Transforming Episode Accountability Model ...

For quite some time I have been an advocate of reforming the Quality Improvement Organization (QIO) program. It’s an oxymoron to have a quality improvement program that turns out to be poor quality.

On October 21, 2022, CMS announced new actions to increase accountability and scrutiny on nursing homes in the Special Focus Facilities Program (SFF Program), an oversight program for the poorest ...

Medicare Advantage’s quality bonus program is a significant source of revenue for MA insurers, but generally doesn’t translate to higher quality care for beneficiaries, according to a new report from ...

CMS’ Hospital Inpatient Quality Reporting Program was designed to pay hospitals a higher annual update to their payment rates for successfully reporting and meeting designated quality measures. In ...

Billions of dollars are being spent by the Department of Health and Human Services on three new federal programs that are essentially redundant, according to The Fiscal Times. The report cites a study ...

Editor’s note: Alice Brewer is the senior director of clinical affairs at PDI Healthcare. The latest list of hospitals facing federal penalties for poor quality has been released. Through hospital ...