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 ...

CMS will hold a live encore presentation of last week’s webinar on its new contracts with Quality Improvement Organizations, on July 29 at 2 p.m., EST, according to an AHA News Now report. CMS ...

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 initially focused on cost monitoring measures when thinking about quality assurance. However, it now aims to ensure beneficiaries receive high quality, safe, impartial, and effective ...

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 ...

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 ...

Serving as the primary liaison for the $50 billion Rural Health Transformation Program, the ORHT is now responsible for ...

The Medicare Shared Savings Program saved over $2.1 billion in 2023, enhancing care quality through ACOs. ACOs showed significant improvements in quality measures, including diabetes control, cancer ...

CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...

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 ...

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 ...

Medicare’s approach to quality assurance has significantly changed over the years. Starting with cost monitoring measures, it now ensures Medicare beneficiaries receive high quality, safe, and ...