Health Policy News February 2016

Quality has been top of focus across the health care world.  Whether it be related to coverage, care or other consumer services, there has been ongoing movement to advance quality. Broadly, the definition of "quality" includes buzzwords we are all familiar with: access, cost effectiveness, cost transparency, value and high level of care. This edition ...

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 2017. In short, pending the approval of proposed regulations,the following changes are coming for 2017: CMS will be publicly displaying QHP quality rating information on ...

CMS and AHIP announce alignment in physician quality measures

On February 16, 2016, the Centers for Medicare and Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP) announced multi-payer alignment and simplification of core quality measures to be used in calculating quality-based payments for seven physicians’ services specialties.  Multi-payer alignment is expected to reduce the reporting burden for providers and to accelerate the nationwide ...

PCG’s top health trends to look for in 2016

Year end is a time of reflection, and a time to plan for what’s to come. Here at PCG, our Health team has much to be proud of in 2015: we helped more than 40 states develop and implement health care reform and Medicaid policy that will impact millions of Medicaid members nationwide. And so ...

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