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.

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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 ...

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 ...

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 ...

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

The Centers for Medicare & Medicaid Services will be collecting new data on nursing homes’ “readiness” to access, share and use electronic data — a precursor for a new pilot that could include skilled ...

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