Abstract
The history of the centers for Medicare Medicaid Services (CMS) involvement in quality improvement is long-standing. Linking performance metrics to payment is a powerful lever to stimulate healthcare improvement and maintenance of quality. This may also improve consistency and standardization of healthcare practices across regions.
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National Academies of Science Engineering and Medicine. Improving the quality of care in nursing homes. 1986. http://www.nationalacademies.org/hmd/Reports/1986/Improving-the-Quality-of-Care-in-Nursing-Homes.aspx. Accessed 17 Nov 2017.
Mitchell E. Population-based payment models: overcoming barriers, accelerating adoption. May 16, 2016. https://hcp-lan.org/2016/05/pbp-models-overcoming-barriers-accelerating-adoption/. Accessed 17 Nov 2017.
Institute of Medicine. Vital signs: core metrics for health and health care progress. Washington, DC: National Academies Press; 2015.
Office of the Federal Register. Medicare Program; Merit-based Incentive Payment System (MIPS) and Alternative Payment Model (APM) incentive under the physician fee schedule, and criteria for physician-focused payment models, 42 CFR Parts 414 and 495. Published in the Federal Register 11/4/16: https://www.federalregister.gov/documents/2016/11/04/2016-25240/medicare-program-merit-based-incentive-payment-system-mips-and-alternative-payment-model-apm. Accessed 17 Nov 2017.
Centers for Medicare & Medicaid Services. Quality payment programs. Executive summary. https://qpp.cms.gov/docs/QPP_Executive_Summary_of_Final_Rule.pdf. Accessed 17 Nov 2017.
Unroe KT, Hollmann PA, Goldstein AC, Maline ML. Medicare access and CHIP reauthorization intact: what do geriatrics healthcare professionals need to know about the quality payment program? JAGS. 2017;65:674–9.
American College of Physicians. Comment: Medicare Program; Merit-Based Incentive Payment System (MIPS) and Alternative Payment Model (APM) Incentive under the Physician fee schedule, and criteria for physician-focused payment models [CMS-5517-FC]. https://www.acponline.org/acp_policy/letters/avp_comment_letter_to_cms_on_macra_final_rule_2016.pdf. Accessed 17 Nov 2017.
McWilliams JM. MACRA: big fix or big problem? Ann Intern Med. 2017;167:122–4.
Gagliano N. Satisfaction vs burnout. Value-based strategies that motivate. Group Pract J. 2017:15–17.
Medicare’s Quality Improvement Organization program: Maximizing potential. Pathways to healthcare. http://www.nap.edu/catalog/11604.html. Accessed 17 Nov 2017.
Jencks SF, Huff ED, Cuerdon T. Change in the quality of care delivered to Medicare beneficiaries, 1998–1999 to 2000–2001. JAMA. 2003;289:305–12.
Snyder C, Anderson G. Do quality improvement organizations improve the quality of hospital care for Medicare beneficiaries? JAMA. 2005;293:2900–7.
Mims AD, Pederson JC, Gold JA. Healthcare changes and the affordable care act: a physician call to action quality improvement organizations. In: Powers JS, editor. Healthcare changes and the affordable care act. Switzerland: Springer International Publishing; 2015. p. 13–31.
Chassin MR, Loeb JM, Schmaltz SP, Wachter RM. Accountability measures–using measurement to promote quality improvement. N Engl J Med. 2010;363:683–8.
Baker DW, Chassin MR. Holding providers accountable for healthcare outcomes. Ann Intern Med. 2017;167:418–23.
Burstin H, Qaseem A. Moving to measures that matter and motivate change. Ann Intern Med. 2017;167:442–3.
Schuster MA, Oronata SE, Meltzer DO. Measuring the cost of quality measurement: a missing link in quality strategy. JAMA. 2017;318:1219–20.
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Powers, J.S. (2018). Quality Indicators, Outcomes, and Performance Pay. In: Value Driven Healthcare and Geriatric Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-77057-4_2
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