Category: Quality Improvement

Health Policy News – February 2021

In the month since the presidential inauguration, the Biden administration has been busy putting its mark on U.S. health policy. A new Marketplace Open Enrollment Period has begun, and the ...

Migrating Incentives from Measurement to Learning

Over the past three decades, an overreliance on quality measures as a material driving factor in value-based payment (VBP) arrangements has created an adverse trade-off within delivery systems: achieve short ...

Health Policy News – September 2020

As we head into fall, individual states and our entire nation continue to grapple with the COVID-19 pandemic, while simultaneously addressing other policy needs and opportunities. At Health Policy News, ...

Reducing Racial Disparities: Quality Improvement in Developmental Disability System Services

The COVID-19 pandemic has further compounded healthcare disparities faced by people of color and members of the disability community—a fact demonstrated in the National Association of State Directors of Developmental ...

Critical Incident Management Solutions in Medicaid Long-Term Care

Medicaid agencies must assure the health and safety of their Home & Community-Based Services (HCBS) waiver program recipients by managing the reporting, investigation, and prevention of incidents.  Failure to do ...

Current state of CMS quality rating programs

For Marketplace plans, quality is coming to the forefront as Quality Rating System (QRS) and Quality Improvement Strategy (QIS) requirements are rolled out for Qualified Health Plans (QHPs) starting in ...