CMS, Private Insurers Agree on Health Care Outcome Measures

CMS, Private Insurers Agree on Health Care Outcome Measures

Everyone agrees that the future of health care will be driven by outcomes. But which outcomes will be doing the driving? A major-player collaborative that includes the Centers for Medicare and Medicaid Services (CMS) and the country’s leading private insurers’ organization has unveiled its first answers to that question.

In mid-February, the Core Quality Measures Collaborative released its first-ever consensus document to “identify core sets of quality measures that payers have committed to using for reporting as soon as feasible,”¬†according to CMS, which joined with America’s Health Insurance Plans (AHIP), purchasers, consumers, and physician and other care provider organizations to develop lists of standard outcome measures in 7 clinical areas. Besides CMS and AHIP, participants included the American Medical Association and the American Academy of Family Physicians.

The inaugural 7 areas addressed by the measures are cardiology; gastroenterology; HIV and hepatitis C; medical oncology; obstetrics and gynecology; orthopedics; and accountable care organizations (ACOs), patient centered medical homes (PCMHs), and primary care. According to AHIP, these will be the first in a series of “broadly agreed upon core measure sets that are aligned and harmonized across public and private payers.”

Full story of CMS and Private Insurers on health care outcomes measures at APTA

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