BEDFORD, MA--(Marketwired - Feb 18, 2016) - LogixHealth, a leading provider of internet and software enabled coding, billing, analytics and management services for hospital and physician practices nationwide, provides services for millions of Emergency Department (ED) visits across 35 states, and has analyzed the Core Quality Measure Set Collaborative initial measure set release.
Patients, employers, insurance companies and the government have all voiced an increasing desire to tie payments to quality and value. Medicare has developed varied, and at times disparate, quality programs. In an effort to harmonize the various divergent quality programs, Medicare and Medicaid have collaborated with the AMA, commercial insurance plans, managed care plans, physicians and consumers to set up the Core Quality Measures Collaborative. The goal of the collaborative is to identify more uniform quality measures to which the diverse payer community would commit. The collaborative used several guiding principles, including being meaningful to patients, consumers, and physicians. Importantly the measure sets should assist in reducing cost, variability, and the burden of collecting the data.
"Creating consistent widely used measure sets is an initial step in decreasing the cumbersome and increasingly complex process of quality reporting," states Michael Granovsky, President of LogixHealth.
The Core Quality Measure Collaborative included a diverse group representing multiple stakeholders, including leaders from CMS, the National Quality Forum (NQF), America's Health Insurance Plans (AHIP), physician organizations (such as the AMA), employers and consumers. The Collaborative was successful in reaching a consensus on a group of core measures, and CMS released seven initial measure sets that are listed below:
Initial Collaborative Core Measure Sets:
Accountable Care Organizations (ACOs), Patient Centered Medical Homes (PCMH), and Primary Care: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/ACO-and-PCMH-Primary-Care-Measures.pdf
Gastroenterology: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/Gastroenterology-Measures.pdf
HIV and Hepatitis C: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/HIV-Hep-C-Core-Measures.pdf
Medical Oncology: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/Medical-Oncology-Measures.pdf
Obstetrics and Gynecology: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Downloads/OB-GYN-Measures.pdf
CMS already utilizes measures from each of the core sets. Commercial health plans are rolling out the core measures as well. While still a work in progress, these evidence-based measures are an important initial step in establishing increased quality measure standardization.
About LogixHealth:
LogixHealth, a leading provider of internet and software enabled coding, billing, analytics and management services for hospital and physician practices nationwide, provides services for millions of Emergency Department (ED) visits across over 35 states. We provide tools and resources to optimize financial performance and improve the quality of care. For more information, visit www.logixhealth.com.
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