The Centers for Medicare & Medicaid Services yesterday issued guidance on state-directed payment quality evaluations, ...

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 ...

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.

Medicare has strict processes and procedures in place to ensure its beneficiaries receive safe, efficient, fair, and effective care. Learn more.

Carrots and sticks have been the name of Medicare’s quality improvement game for years. But policy experts say the strategy ...

CMS issued a request for proposals for Hospital Improvement and Innovation Networks initiative Wednesday. HIINs will be tasked with helping reduce overall patient harm by 20 percent and readmissions ...

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 ...

The Medicare Advantage quality bonus program, established by the Affordable Care Act as part of a package of MA reforms, was expected to reduce payments to MA organizations. But according to a new ...

Medicare’s value-based programs are penalizing inpatient hospitals for community-level health equity factors that impact outcomes but are largely out of hospitals’ control, according to a recent ...

Lowering rehospitalizations by better educating nursing home clinical and operational leaders is the focus of a 45-facility initiative.

Virginia's Medicaid agency awarded the state's lowest quality nursing homes millions of dollars in bonus cash meant to reward ...