The CMS Hospital Star Ratings are a key score of clinical quality that help inform value-based payments. The higher the score, the higher the quality and therefore the higher the reimbursement. However, the agency has long asserted that the Hospital Star Ratings are also a patie...
CMS has released aproposed rulefor the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS). The proposed rule would update hospital payment rates by 2.8 percent next fiscal year and adopt policies aimed at advancing health equity. Under the rule, CMS has prop...
To prioritize patient safety, CMS is seeking public comment on three options for updating the overall hospital quality star rating methodology and whether hospitals that performed in the bottom quartile in the Safety of Care measure group should be eligible to receive five-star ratings. The opt...
CMS Issues First Hospital Compare Star RatingsMcCurdy, Debra
Some measures are still delayed, however. For example, Wallace said the Plan All-Cause Readmissions measure is delayed by a year and will be implemented for star ratings in 2024. Furthermore, Member Experience measures are rising to a rate of 4 for the 2023 star ratings, Wallace ...
the agency published some data showing the national distribution of Overall Hospital Star Ratings based on hospital characteristics. For each hospital characteristic, such as teaching status or safety net status, CMS evaluated the distribution of hospitals across the five star categories (1, 2, 3, ...
For example, Mango thinks HEDIS measures, and star ratings broadly, should be reimagined to focus more on outcomes, not inputs. HEDIS measures include breast cancer screenings, immunization status, medication adherence and other similar factors. Health plans are judged on how effectively they measure...
So far, CMS' release of hospital charges has had little to no effect on hospital credit ratings, but it could put downward credit pressure on the industry in the long term as wide range of pricing invites stronger regulation and oversight, according to a report from Moody's Investors ...
Medicare Advantage Star Ratings Drop Again For 2025, the average star rating for Medicare Advantage Prescription Drug contracts was 3.92, compared to 4.07 for 2024, 4.14 for 2023 and 4.37 for 2022. ByMarissa Plescia MedCity Influencers Patient Safety Structural Measure Marks Progress Towards Safer an...
Davis Wright Tremaine LLPon12/27/2024 Hospital at Home (“HaH”) programs received renewed interest during the COVID-19 pandemic as a way to relieve hospital capacity issues and allow patients to receive effective care outside of the traditional hospital setting...more The...