Topic
Quality Improvement
14 published works
Health Law Insider
Department of Health (“DOH”) Has Issued Material Updates to Rules Governing Coordinated Quality Improvement Program (“CQIP”) Approval
By Ronak Chokhani, Terri Rambosek
Many health care entities took a “set it and forget it” approach to their CQIPs once the CQIPs were approved by DOH under regulations adopted in 2006. Beginning tomorrow, such…
Healthcare Law Blog
Blog Series Part 4: CMS Proposed Rule on Policy and Technical Changes to the Medicare Advantage, Medicare Prescription Drug Benefit, Medicaid Fee-For-Service, and Medicaid Managed Care Programs for Years 2020 and 2021
Quality Improvement Programs The proposed rule issued November 1, 2018 (the “Proposed Rule”) by the Centers for Medicare and Medicaid Services (“CMS”) includes two technical changes to 42 C.F.R. Part…
Health Industry Washington Watch
CMS Finalizes Plan to Expand Medicare/Private Claims Data Available for Care Improvement
CMS has published a final rule to allow organizations approved as “qualified entities” to confidentially share or sell analyses of Medicare and private-sector claims data to providers, employers, and other…
Elder Law Prof Blog
Medicare Learning Network Call on Dementia Care
By rmorgan
The Centers for Medicare & Medicaid Services (CMS) provides the Medicare Learning Network (MLN). MLN provides, among other things, articles, trainings, and national provider calls. The next national provider call…
Health Industry Washington Watch
OIG Questions Potentially Duplicative Hospital Quality Improvement Efforts
The OIG recently issued a report that examined the extent to which Quality Improvement Organizations (QIOs) duplicate other CMS hospital quality improvement efforts, particularly Hospital Engagement Networks (HENs) and the…
Health Industry Washington Watch
CMS Announces Reforms to Quality Improvement Organization Program
On May 9, 2014, CMS announced it is implementing the first phase of its reforms to the Quality Improvement Organization (QIO) Program in an effort to “gain efficiencies, to eliminate…
Healthcare Law Insights
CMS Approves Texas Bundled Payment Pilot Programs
On January 31, 2013, the Centers for Medicare & Medicaid Services (CMS) announced the health care organizations selected to participate in the Bundled Payments for Care Improvement initiative (“BPCI”). BPCI…
Health Care and Life Sciences
CMS Innovation Center Announces Four Models in Bundled Payments for Care Improvement Initiative
by Lesley R. Yeung, Shawn M. Gilman, and Serra J. Schlanger On August 23, 2011, the Centers for Medicare & Medicaid Services (“CMS”) Innovation Center announced a new initiative to…
Health Industry Washington Watch
Evaluation Criteria for Quality Improvement Program Contracts
CMS is seeking comments on the general criteria it will use to evaluate Quality Improvement Organizations (QIOs) that will enter into contracts with CMS under the 10th Statement of Work…
Louisiana Law Blog
U.S. Department of Health and Human Services Issues Report to Congress on National Strategy for Quality Improvement in Health Care
By Jennifer Thomas, Steven Boutwell
In accordance with the Patient Protection and Affordable Care Act, the Secretary of the United States Department of Health and Human Services (the “Department”) issued its report to Congress on…