Medicare Group Develops Quality Measures


Doctors-300x199.jpgSince Medicare plays a big role in the healthcare of many aging parents, they may be interested to learn that a new collaborative group that includes the Centers for Medicare and Medicaid Services (CMS) has recently developed some clinical quality measures.

Goals

Working in collaboration with AHIP (America’s Health Insurance Plans), a national trade association representing the health insurance industry, CMS released seven core sets of quality measures that are intended to support greater quality improvement and ease of reporting across the health system.

According to a press release, “the goals of this effort are to establish broadly agreed upon core quality measures that will allow for less complexity in reporting for clinicians, decrease the overall cost burden to consumers and the health care system, and ensure high-quality care for patients.”

Measures

The core measures identified all fall into the following seven sets:

  • Accountable Care Organizations (ACO)/Patient Centered Medical Homes (PCMH)/Primary Care
  • Cardiology
  • Gastroenterology
  • HIV/Hepatitis C
  • Medical Oncology
  • Orthopedics
  • Obstetrics and Gynecology

Because of the complexity of the US health care system, there has been great variation in measure requirements. This can lead to a great deal of confusion among patients, doctors, insurance providers, and others. By trying to provide more standardized information, it is hoped that there will be more clarity, which in turn should lead to both more efficient use of resources and to better patient outcomes in the long run.

The above are not the only measure sets that the collaborative hopes to develop; this is the first release. As they continue their work, they will release other sets which will address other issues and areas.

CMS is already using measures from these core sets. Now efforts will be made to implement these processes among other groups and individuals. Aging parents, spouses, and others may not see immediate results; however, in the long run, aging parents and others may be able to experience a positive change in their care.​


Related Article
Does Medicare Cover In-Home Senior Care?​- newportnews.myhomecareblog.com

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