Reduce the Cost of Care

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Reporting Quality Data to Improve Care

As part of its strategy to promote higher quality care, CMS has implemented accepted quality measures, value-based payment, and quality reporting programs. The measures assess clinical quality of care, care coordination, patient safety, and the patient and caregiver experience. Strengthening infrastructure and data systems and fostering learning organizations represent two of the QIO Program’s four foundational principles for quality improvement. These principles come together in the CMS quality reporting and incentive programs, which make Medicare more accessible and affordable to beneficiaries. 

Helping Providers in Multiple Care Settings

Quality Innovation Network (QIN)-QIOs work with a variety of providers and care facilities to navigate quality reporting, the Physician Feedback/Value-Based Payment Modifier Program, and Quality and Resource Use Reports (QRURs).  Providers and facilities include:

  • Eligible physicians and physician groups
  • Inpatient and outpatient hospital departments
  • Acute care and critical access hospitals
  • Inpatient Psychiatric Facilities (IPFs)
  • PPS-exempt Cancer Hospitals (PCHs)
  • Ambulatory Surgical Centers (ASCs)

As part of Medicare’s efforts to improve the quality and efficiency of medical care, the Physician Feedback/Value-Based Payment Modifier Program provides comparative performance information to physicians and medical practice groups. By providing meaningful and actionable information for doctors to apply towards quality improvement, CMS is shifting towards a model of physician reimbursement that rewards value rather than volume. Using workflow analysis and other proven methods, QIN-QIOs will help providers identify and close gaps in care coordination, improve efficiency and quality, and meet or exceed national reporting requirements.