The “flagship program” meant to drive quality at nursing homes most in need of improvement is not working, in part due to an overreliance on financial ...

A federal watchdog Wednesday called on regulators to strengthen the Special Focus Facility program for nursing homes, saying that most facilities that graduate do not sustain improvements. Providers ...

A federal watchdog Wednesday called on regulators to strengthen the Special Focus Facility program for nursing homes, saying that most facilities that graduate do not sustain improvements.

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 ...

Medicare’s approach to quality assurance has significantly changed over the years. Starting with cost monitoring measures, it now ensures Medicare beneficiaries receive high quality, safe, and ...

The Medicare Shared Savings Program saved over $2.1 billion in 2023, enhancing care quality through ACOs. ACOs showed significant improvements in quality measures, including diabetes control, cancer ...

On May 29, 2024, CMS released its fifth annual report evaluating the Bundled Payments for Care Improvement Advanced Model (BPCI Advanced Model). The BPCI Advanced Model is designed to reduce Medicare ...

The Centers for Medicare & Medicaid Services Oct. 31 released its calendar year 2026 final rule for the physician fee schedule.

Billions of dollars are being spent by the Department of Health and Human Services on three new federal programs that are essentially redundant, according to The Fiscal Times. The report cites a study ...

CMS recently issued a proposed rule requiring most Medicare-participating providers to give beneficiaries written notice about their right to contact a Medicare Quality Improvement Organization if ...

CMS’ Hospital Inpatient Quality Reporting Program was designed to pay hospitals a higher annual update to their payment rates for successfully reporting and meeting designated quality measures. In ...

MADISON, Wis., June 9, 2025 /PRNewswire/ -- Superior Health Quality Alliance (Superior Health) is proud to announce it has been awarded a 13th Scope of Work (SOW) by the Centers for Medicare & ...