p3care

OCTOBER 30, 2020

CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM). How MIPS consultants take care of the administrative data to report to the authorities affects revenue cycles. Quality Category: Weighs 50%.

Medicare 243

Medicare Measurable Quality Medicaid Accountable Care 243

Healthcare ECONOMIST

AUGUST 17, 2021

For years, Medicare and other payers have used quality measures to evaluate the quality of care patients receive at various types of providers settings (e.g., For some payers, higher quality scores/higher star ratings lead to direct increases in reimbursement through a value-based purchasing arrangement.

Measurable Quality 81

Measurable Quality Quality of Care Patient Experience Medicare 81

Healthcare ECONOMIST

NOVEMBER 2, 2021

One in three American adults, four in five Medicare beneficiaries, and a growing number of children have MCC. In the Bierman article, they aim to do this by answering the following questions as part of their research agenda: How can care become more patient centered for patients with MCC?

Measurable Quality 85

Measurable Quality Medicare Quality of Care Accountability 85

NASHP

MARCH 14, 2022

Successful home-based palliative care programs cite an engagement rate of 35%. For length-of-stay estimates, consider using the CMMI Medicare Choices Model of community-based pre-hospice services, with an average length of stay of 99 days.

Medicaid 94

Medicaid Rehabilitation Quality Assurance Patient Experience 94

Briggs Healthcare

JUNE 28, 2023

Ownership data comes from the Provider Enrollment, Chain, and Ownership System (PECOS), the electronic Medicare enrollment system and national data repository for individual and organizational providers who have enrolled or are enrolling in Medicare.

Nursing 52

Nursing Home Care Measurable Quality Medicare 52

NCQA

SEPTEMBER 17, 2024

This year, 1,019 commercial, Medicare and Medicaid health plans earned a rating from NCQA. Highlights and Results Here are some key takeaways from our analysis of the Health Plan Ratings data: Increase in Highly Rated Plans Three commercial and two Medicare plans earned a 5-star rating—a slight increase from last year.

Quality Assurance 52

Quality Assurance Medicaid Medicare Patient Experience 52

NCQA

JULY 16, 2024

In our recent Fireside Chat, we brought together two forward-looking health care leaders united in their commitment to quality and their passion for improving care for Medicaid populations.

Medicaid 86

Medicaid Quality Improvement Integration Population Health 86