Health Affairs January 25, 2022
It’s time for a wholesale replacement of our system for measuring health care quality and putting quality information to use. The current retrospective, transactional system for measuring and rewarding improvement is ineffective, expensive, burdensome, no longer credible, and does not measure health or the outcomes of health care.
Thirty years after the widespread adoption of managed care models and the general reporting of HEDIS and CAHPS measures, we still evaluate health care quality based on administrative claims data, office and hospital-based care modalities, and a transactional view of health care payment and delivery. And 10 years since the implementation of “meaningful use” and the launch of the Center for Medicare and Medicaid Innovation (the Innovation Center) alternative payment models,...
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