Quality Data

Home Healthcare Agencies
CMS Proposes Change in HHA Reimbursements

Earlier this summer, CMS proposed payment updates for various sites of care. One of the most dramatic proposals will affect the home health agency prospective payment system (HHA-PPS). One of the primary differences in the payment update emphasizes a shift away from using therapy services as a replacement for patient…

hospital outpatient procedures
HCAHPS: What Hospital Patients Care About the Most

Patient experience has taken on new importance in recent years due to new CMS quality and reimbursement initiatives. Today, many hospitals’ Medicare payments are determined in part by their Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, a standardized program through which patients rate hospitals on 11 key…

quality of care
Readmission Prevention Not Always Worth the (Financial) Cost

A recent study that has been covered in several news outlets proposes an interesting conclusion: hospital quality improvement initiatives that successfully reduce preventable readmissions may not always be cost effective. The study, “Economic Evaluation of Quality Improvement Interventions Designed to Prevent Hospital Readmission,” examined previous research on the cost and…

quality of care
Value-Based Purchasing: A Bad Deal for Safety-Net Hospitals?

Hospitals are facing more pressure to improve outcomes and deliver better care than ever before. In addition to the spread of performance-based reimbursement agreements, acute-care providers are also subject to regulatory programs, such as the value-based purchasing (VBP) and readmissions reduction programs, which penalize facilities with low quality scores. Since…

ACA physician shortage
Sociological Needs May Hold Key to Cutting Costs, Readmissions

CMS recently identified the 32 participants in its Accountable Health Communities Model, a five-year program designed to test the effectiveness of managing non-clinical health determinants of Medicare and Medicaid populations in order to improve outcomes and lower costs. The model is based upon the theory that social factors like stable…

Hospital ER wait times
Are Today’s Providers Overwhelmed by Quality Reporting?

In today’s healthcare delivery environment, few concerns are as important to providers, payers, and consumers as quality. Quality scores can drive patients towards or away from hospitals and doctors, determine reimbursement rates, and subject organizations to a wide range of government incentives or penalties. Most would agree that quality measurements…

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