New York is ahead of other states in developing quality measures for poor and elderly residents with multiple chronic conditions, by virtue of early work done by the New York State Department of Health and IPRO. That’s a finding included in a new report from the United Hospital Fund that examines the need for measures addressing the quality of services provided to “dual eligibles” who qualify for Medicare and Medicaid, as well as individuals with multiple physical and mental health deficits and long term care needs. Read the rest of this entry »
Seven New Yorkers are among the first group of “Innovation Advisors” selected by the U.S. Centers for Medicare & Medicaid Services (CMS) to test new models of healthcare delivery.
CMS announced the first 73 individuals chosen to participate in the program in December 2011; the agency plans to select as many as 200 Advisors during the first full-year of the national program. Read the rest of this entry »
The U.S. Department of Health & Human Services has published an initial core set of 26 quality measures for states to use in evaluating the performance of Medicaid programs, applicable to both managed care and fee-for-service providers. As mandated by the Affordable Care Act, HHS was charged with developing a uniform set of performance measures in advance of implementing a national, voluntary Medicaid public reporting program to begin in the fall of 2014. Of the 26 measures included in the final notice published in the January 4, 2012 Federal Register, twelve address prevention/health promotion; three address acute conditions, seven address chronic care, and two address family experiences, with a single care coordination measure and another addressing availability of care. Read the rest of this entry »
The Payment Reform and Quality Measurement Work Group of New York’s Medicaid Redesign Team released its final recommendations in December. Chaired by Dan Sisto, President of the Healthcare Association of New York State, and William Streck, MD, Chair of the New York State Public Health and Health Planning Council, the 21-member Work Group agreed on four goals: Read the rest of this entry »
While adding requirements for hospitals, the new “Conditions of Participation” issued by the Centers for Medicare & Medicaid Services (CMS) will actually save more than $900 million annually in administrative efficiencies, according to senior managers at the agency. “Conditions of Participation” are the quality and safety standards that government survey teams and private accreditation agencies use to evaluate hospitals and other providers during onsite visits. Read the rest of this entry »
Qualified non-governmental organizations will be able to publish physician-specific Medicare performance information beginning in 2012, so long as they combine that data with other claims information, according to a final rule issued December 5 by the Centers for Medicare & Medicaid Services (CMS). Under the terms of the final rule, qualified entities can publish Medicare Parts A, B and D claims data that identify physicians while safeguarding the identities of Medicare beneficiaries. Read the rest of this entry »