Delivering quality healthcare is the goal of all stakeholders in the healthcare system. As Medicare, Medicaid, and commercial payers shift away from the traditional fee-for-service payment model towards payments that place a premium on delivering valuable care, Applied Policy is ready to help you adjust to the new paradigm. We are deeply familiar with how Medicare, Medicaid and other payers use quality measures to adjust payments and incentivize high-quality healthcare. Our team has helped multiple clients understand the quality measure development process and how to get those measures adopted for use under payment programs. Our relationships with non-governmental organizations influential in quality measure development, endorsement, and application process are assets to our clients. We also help clients develop strategies to fill quality measure gaps, ensure measures are used appropriately, and eliminate burdens and barriers that discourage measure use and adoption.
Quality reporting programs for providers impact the way care is delivered and reimbursed. Over the next several years, a new physician payment program will be fully implemented in Medicare, and programs for hospitals and other healthcare facilities will be streamlined and strengthened. Quality measurement is an issue that all healthcare stakeholders need to understand. Applied Policy has years of experience with Medicare, Medicaid, and commercial quality reporting programs, including measure development, endorsement, and adoption. As these programs shift from “pay for reporting” to “pay for performance,” we are prepared to help our clients understand how these changes will impact their business and the patients they serve.
We help our clients review existing measures, identify current measure gaps, and if necessary, develop a strategy to modify or create a new measure to address those gaps. We understand the importance of engaging external stakeholders throughout the process in order to avoid administrative or technological challenges that can impede adoption and provider use. Our experienced team is uniquely positioned to help your company become and stay engaged in the quality measurement arena.