policy

Quality Measures

Improving health care quality is a high priority for members of the Business Group, consumers, and other payers, including federal and state governments. We support initiatives to assure quality health care, to expand accountability and public disclosure, to tie payment to better outcomes, and to improve safety and eliminate medical errors. Along with the federal government as well as other major health care purchasers, we support the use of NQF-endorsed quality measures, for reporting purposes, to ensure that measures are scientifically sound and to help standardize performance measures across the industry and to reduce the reporting burden for providers.

Initiatives by public payers greatly influence quality and payment innovation in the commercial market and large employers appreciate the CMS’s development of tools that help measure or quantify healthcare processes, outcomes, and patient perceptions. We also support effort to make information contained in public reports understandable and relevant to consumers.

 

 

 

Featured Resources

 Comments to the Centers for Medicare and Medicaid Services (CMS) on the 2016 Proposed Rule for the Hospital Inpatient Prospective Payment Systems (IPPS) for Acute Care HospitalsComments to CMS on Proposed Rule for Medicare Hospital Inpatient Payment for 2018
The National Business Group on Health submitted comments to support expansion of performance-based payment in Medicare and refinements to quality measurement and other improvements in Medicare.

 National Business Group on Health's Position Statement on Health Care Quality and Patient Safety National Business Group on Health's Position Statement on Health Care Quality and Patient Safety
Improving the quality and safety of health care will lead to healthier employees, lower costs and a more productive workforce.

 

 

Comments to CMS Acting Administrator Slavitt Supporting a Proposed Rule that Would Move Medicare Away from Fee-for-Service Comments to CMS Acting Administrator Slavitt Supporting a Proposed Rule that Would Move Medicare Away from Fee-for-Service
The National Business Group on Health recently submitted comments to CMS on a proposed rule implementing the Medicare Access & CHIP Reauthorization Act of 2015 supporting the proposed rule and urging CMS to sustain and amplify its commitment to transforming the payment for and delivery of care, and continue to streamline reporting, enhance quality of care, and implement policies to encourage cost-effectiveness.

Comments to CMS Administrator Supporting Proposed Changes to Medicare Hospital Outpatient Reimbursements that Would Continue the Transition from Fee-for-Service towards Payment Models that Command Value and Efficiency Comments to CMS Administrator Supporting Proposed Changes to Medicare Hospital Outpatient Reimbursements that Would Continue the Transition from Fee-for-Service towards Payment Models that Command Value and Efficiency
The National Business Group on Health sent a letter to Acting CMS Administrator Andy Slavitt supporting implementing site-neutral payments, removing pain management from dimension of the HCAHPS survey, and more.

 

Also of Interest

More Physicians Reporting Quality Data to Medicare, but 40% Still Do Not
While CMS reported last week that 47% more physicians reported to Medicare their performance on quality measures in 2013 than in 2012 (the most recent year for which complete data are available), more than 460,000 Medicare physicians (about 40% of the total) have not reported any data.

CMS Bows to Provider Pressure to Delay Performance Penalties
Recently, CMS, facing pressure from the provider community, proposed to allow providers to choose the extent to which they report quality performance data in 2017 to comply with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Reducing Diagnostic Errors: An Employer’s Imperative
Employers have an important stake in helping employees and dependents receive a correct and timely diagnosis. This issue brief explains why employers are increasingly using programs that provide clinical support as part of their health improvement strategies, provides a profile of a large employer who has experienced success with one of these programs and offers recommendations for action.

Employers as Payment Reform Trailblazers: The Intel Corporation Story
Learn how Intel Corporation is reforming care delivery in a major location by directly contracting with Presbyterian Healthcare Services in New Mexico. Together, Intel and Presbyterian are focused on a fully integrated care model to deliver the right care, at the right time in the right setting at the right total cost through patient-centered medical homes, on-site clinics and evidence-based medicine.

 

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