CMS

OIG: Failure to Post Home Health Falls Taints Care Compare Quality

September 11, 2023 - Inaccurate reporting of home healthcare falls may be tainting the quality of information shared via Care Compare, the online platform the Centers for Medicare and Medicaid Services intends to help consumers make healthcare access decisions, the HHS Office of Inspector General said in a recent report. The report centered on fall rates, a major...

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16% of Orgs Get Top-Marks in CMS Hospital Star Ratings for July 2023

by Sara Heath

The Centers for Medicare and Medicaid Services (CMS) has updated the CMS Hospital Star Ratings, outlining which hospitals perform well in categories like patient safety, patient experience, and overall...

CMS Cracks Down on Appointment Wait Times for Medicaid MCOs

by Sara Heath

The Centers for Medicare and Medicaid Services (CMS) want state Medicaid plans to improve patient care access, with the proposed Ensuring Access to Medicaid Services and Managed Care Access, Finance,...

CMS Nursing Home Care Compare Exposed for Underreported Quality Info

by Sara Heath

A new HHS Office of the Inspector General (OIG) report is putting CMS on blast for not accurately reporting on nursing home issues on the agency’s Care Compare sites, which healthcare consumers...

Adding Social Determinants to CMS’ Universal Foundation a Key Step Forward

by Sara Heath

CMS wants you to be able to use a standard set of quality measures for the myriad value-based care contracts you might be involved in. Dubbed the Universal Foundation, these measures are set to streamline quality reporting in different...

CMS Funds 200 Medical Residency Slots with Health Equity in Mind

by Sarai Rodriguez

The Centers for Medicare & Medicaid Services (CMS) has awarded the first 200 of 1,000 medical residency slots to preserve care access in underserved communities, reflecting a commitment to advance...

CMS Preserves Patient Safety Data Reporting in IPPS Final Rule

by Sara Heath

The Centers for Medicare and Medicaid Services (CMS) has codified patient safety reporting as part of its Inpatient Prospective Payment System final rule for 2023, a move that’s being lauded by...

HHS Proposal Fortifies LGBTQ, Sex Antidiscrimination Rule in Healthcare

by Sara Heath

The Department of Health and Human Services (HHS) has proposed a rule that would reinstate parts of Section 1557 of the Affordable Care Act (ACA), codifying LGBTQ+ and sex antidiscrimination...

Are the Updated CMS Hospital Star Ratings Reliable Measures?

by Sara Heath

The new CMS Hospital Star Ratings methodology, introduced in 2020, is leaving smaller, rural, and critical access hospitals in a lurch, as the new methodology makes for more unpredictable star ratings,...

What CMS’s 2022 OPPS Proposed Rule Means for Health Equity Efforts

by Jill McKeon

CMS aims to strengthen health equity efforts, improve patient safety, and expand access to care with its calendar year (CY) 2022 Medicare Hospital Outpatient Prospective Payment System (OPPS) and...

What the 2022 Physician Fee Schedule Pitch Means for Health Equity

by Sara Heath

The Centers for Medicare & Medicaid Services has unveiled its 2022 Physician Fee Schedule proposal, and among the changes it is making to certain reimbursement programs, the agency is bringing...

CMS OKs Press Ganey for Primary Care First Patient Experience Surveys

by Sara Heath

Patient experience consulting and surveying firm Press Ganey got a big leg up after the Centers for Medicare & Medicaid Services (CMS) approved it to administer the Primary Care First Patient...

CMS Drops First Hospital Star Ratings Since Methods Overhaul

by Sara Heath

The Centers for Medicare & Medicaid Services (CMS) has unveiled its latest updates of the Hospital Star Ratings, its first report since the agency restructured the methodology for assigning...