RevCycle Intelligence October 18, 2016
Jacqueline Belliveau

GAO found that providers cannot develop appropriate quality improvements for value-based care because of healthcare quality measure misalignment across payers.

Healthcare quality measures are integral to determining value-based reimbursement, but misalignment of quality measures across public and private payers has made it more difficult for providers to develop quality improvements for value-based care models, the Government Accountability Office (GAO) stated in a recent report.

“While the full extent of quality measure misalignment has not been quantified, evidence indicates that misalignment creates administrative burdens for healthcare providers and often results in quality information from different payers that is not comparable,” the report stated. “This, in turn, diminishes providers’ ability to identify high-impact quality improvements or prioritize the resources dedicated to them.”

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Congress / White House, Employer, EMR / EHR, Health IT, Health System / Hospital, HHS, HIE (Interoperability), HIM (Health Inf Mgmt), HITECH, MACRA, Market Research, Medicaid, Medicare, Medicare Advantage, Patient / Consumer, Payer, Physician, Population Health Mgmt, Primary care, Provider, RCM (Revenue Cycle Mgmt), Regulations, Self-insured, Value Based
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