US Reps. Jill Tokuda of Hawaiʻi and Nick Begich of Alaska recently introduced two bills to help with Medicare underpayments ...

Measuring enactment of quality improvement interventions Measuring enactment may be challenging, as it requires measurement of the performance of intervention skills and behaviours within complex ...

The Centers for Medicare & Medicaid Services June 30 issued its calendar year 2026 proposed rule for the home health ...

To prepare for CMS’ new risk adjustment data validation (RADV) strategy, Medicare Advantage plans must take a coordinated, ...

The Centers for Medicare & Medicaid Services (CMS) has unveiled a new initiative aimed at improving prior authorization ...

CMS will begin publishing skilled nursing facility ownership data to  its consumer-facing Care Compare website starting July 30.  CMS has published ownership information, including performance ...

Healthcare industry stakeholders made their case to leaders in President Donald Trump's health department last week about the ...

Site-based payment models include those that pay a fee per patient without broader accountability or impose an annual hospital budget for all provided care (sometimes with quality measures and ...

The Centers for Medicare & Medicaid Services (CMS) has issued a new rule to strengthen standards for the Affordable Care Act ...

Reaching high-risk patients at home Recommended Live Webinar on Jul 31, 2025 12:00 PM - 1:00 PM CDT ...

qpp-measures-data Quality Payment Program Measures Data Repository This is the source of truth for QPP measures data. Stability in the API contract for qpp-measures-data is prioritized but not ...

CMS rates plans on a star system (from one to five) that includes measures of plan quality and beneficiary-reported experience. The industry typically considers plans with four stars and above ...