Medicare Quality/Pay for Performance

The Medicare program wants to ensure that the services they pay for are of high quality. As a result, the Centers for Medicare and Medicaid Services has developed quality reporting programs in all practice settings including inpatient rehabilitation, home health, hospitals and outpatient facilities. In addition, quality reporting is also part of the new innovative models of care such as accountable care organizations. These programs include mandatory quality measure reporting and are tied to payment adjustments. The following resources help explain the various pay for performance initiatives.

General Information

Setting Specific Medicare Quality Reporting Program Details

APTA Comments

CSM 2016