Improving quality and increasing star ratings

Medicare and Medicaid make up 38 percent of medical payments in the United States. Whether working in a private practice or a health network, a large number of patients will be receiving benefits from these programs run through the Centers for Medicare and Medicaid Services (CMS).
By accepting payments through federal payers and contracted Medicare Advantage (MA) plans, physicians are held to the quality standards set by CMS and the National Center for Quality Assurance (NHQA). These standards were established in 1991 and are updated yearly to reflect changes in value-based care goals and standard of care guidelines.  With an increasing focus on value-based care, physicians can expect a larger focus on these quality measures.

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