The Centers for Medicare & Medicaid Services has announced a new tool for healthcare providers to help improve the quality of care, according to an agency release. The enhanced Quality Improvement ...

The Centers for Medicare and Medicaid Services is increasing scrutiny and oversight over the country's poorest-performing nursing facilities. CMS is toughening requirements for completion to the ...

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 ...

The Centers for Medicare & Medicaid Services (CMS) issued a revised memo Wednesday to strengthen the Special Focus Facility ...

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.

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 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 ...

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 ...

On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2022 proposed changes to the physician fee schedule. CMS devoted 25 pages of the proposed rule to ...

This article describes facilitators of and barriers to uptake of the underutilized Medicare Diabetes Prevention Program from the perspectives of health care providers and program suppliers in western ...