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Data Reporting

Provider Medical Worker

Accountable Care Organization (ACO) Reporting

OIG Alert Shows Increased Concern Over Data Blocking

The Office of the Inspector General (OIG) issued an alert over its growing concern of data blocking, emphasizing that such activities are in violation of the Federal Anti-Kickback statue. This article explains what data blocking is and the OIG’s stance in its regard.

The Pioneer Accountable Care Organization Model: Improving Quality and Lowering Costs

This Journal of the American Medical Association article reveals the progress achievements of the Accountable Care Organization (ACO) Pioneer model (e.g. $147 million in total program savings for year one in 2012). The essay reveals that most ACOs outperformed Medicare Fee-For-Service models for all 15 quality metrics. Not all ACOs generated savings, as the article confirms nine ACOs have transitioned to the Shared Savings Program, while three have withdrawn entirely. Further improvements are documented in year two, where ACOs demonstrated a mean overall quality score of 84% in 2013 as compared to 70.8% in 2012. They also saved $96 million in year two vs. $87 million in year one.

Quality Reporting & Performance Improvement (QAPI)

The Five Elements of QAPI

This Centers for Medicare & Medicaid Services PDF fact sheet briefly describes the five elements of QAPI.

QAPI At A Glance

This Centers for Medicare & Medicaid Services step-by-step PDF guide explains how to implement QAPI in nursing homes.

Value-Based Purchasing

Fiscal Year 2018 Results for CMS Hospital Value-Based Purchasing Program

The Hospital Value-Based Purchasing Program is one of many Affordable Care Act programs Medicare is putting into place to pay for quality instead of quantity. For FY 2018, this Centers for Medicare & Medicaid Services (CMS) report gives a snapshot of how hospitals are performing on several...

Hospital Value-Based Purchasing Mortality and AHRQ PSI-90 Composite Measures Overview

The 30-day mortality measures for acute myocardial infarction (AMI), heart failure (HF), and pneumonia (PN) under the Outcome domain