The all-or-nothing nature of the Centers for Medicare and Medicaid Services (CMS) quality audits means nursing homes could ...

A new-look Medicare Advantage (MA) quality bonus program would better incentivize insurers and help individuals choose a more appropriate plan, a report from Urban Institute finds. Authors Robert ...

CMS issued a request for proposals for Hospital Improvement and Innovation Networks initiative Wednesday. HIINs will be tasked with helping reduce overall patient harm by 20 percent and readmissions ...

Unfortunately, this book can't be printed from the OpenBook. If you need to print pages from this book, we recommend downloading it as a PDF. Visit NAP.edu/10766 to get more information about this ...

Medicare initially focused on cost monitoring measures when thinking about quality assurance. However, it now aims to ensure beneficiaries receive high quality, safe, impartial, and effective ...

On May 29, 2024, CMS released its fifth annual report evaluating the Bundled Payments for Care Improvement Advanced Model (BPCI Advanced Model). The BPCI Advanced Model is designed to reduce Medicare ...

CMS’ Hospital Inpatient Quality Reporting Program was designed to pay hospitals a higher annual update to their payment rates for successfully reporting and meeting designated quality measures. In ...

As of March 2026, the Centers for Medicare & Medicaid Services (CMS) has officially repealed federal minimum staffing requirements, handing the reins of staffing enforcement to state agencies and a ...

A researcher at the University of Missouri has developed a program that improves the quality of care and reduces avoidable hospitalizations in nursing homes - saving Missouri nursing homes and ...

On April 22, 2024, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule (CMS-2439-F), effective July 9, 2024, aimed at ...

Alignment Health Plan received the PQA Excellence in Quality Award in 2025, from 2018 to 2022 and the PQA Quality Improvement Award in 2018, becoming the first health plan to receive both PQA awards ...