The Centers for Medicare & Medicaid Services has announced a new tool for healthcare providers to help improve the quality of care, according to an agency release. The enhanced Quality Improvement ...

The Centers for Medicare and Medicaid Services is increasing scrutiny and oversight over the country's poorest-performing nursing facilities. CMS is toughening requirements for completion to the ...

With agencies dueling to regulate nursing homes, aligning priorities for a strategic compliance program may be more challenging than ever.

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 ...

While providers aren’t required to follow OIG recommendations, a compliance program based on their guidance can spare ...

Medicare’s value-based programs are penalizing inpatient hospitals for community-level health equity factors that impact outcomes but are largely out of hospitals’ control, according to a recent ...

The Centers for Medicare & Medicaid Services will be collecting new data on nursing homes’ “readiness” to access, share and use electronic data — a precursor for a new pilot that could include skilled ...

For quite some time I have been an advocate of reforming the Quality Improvement Organization (QIO) program. It’s an oxymoron to have a quality improvement program that turns out to be poor quality.

Melissa Kotrys of the Contexture health information exchange previews her HIMSS26 panel session exploring how health data ...

The Medicare Advantage quality bonus program, established by the Affordable Care Act as part of a package of MA reforms, was expected to reduce payments to MA organizations. But according to a new ...

On October 21, 2022, CMS announced new actions to increase accountability and scrutiny on nursing homes in the Special Focus Facilities Program (SFF Program), an oversight program for the poorest ...