Together We Stand(ard): CMS and AHIP Announce Standardization of Quality Measures for Physicians and ACOs
As pay-for-performance programs continue to expand in both scale and scope across the US health care system, the amount of administrative and clinical resources necessary to participate in these programs has correspondingly grown. Participating providers have been faced with increasingly burdensome reporting requirements due to a lack of standardization of quality measures and reporting mechanisms among the various payors. This lack of cohesion has led to significant compliance costs for providers seeking to participate and accurately report quality achievements to the various programs.
A break in the clouds appeared last week for providers and Accountable Care Organizations (ACOs), however. On February 16, 2016, the Centers for Medicare and Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP), a national association representing private health insurance payors, announced the first results from the Core Quality Measure Collaborative. The Collaborative, a joint effort between CMS, AHIP, the National Quality Forum, and other national provider organizations, was designed to generally assess physician and ACO quality measures, with an eye toward standardizing quality measures wherever possible. No distinction was made between payor type.
*This alert was originally posted on Arent Fox's Health Care Counsel blog. To read this alert in its entirety, please click here.