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Currently Accepting Comments


Public Comment Page: Currently Accepting Comments

This page serves as the designated site for CMS to solicit public comments on proposed quality measures.

Instructions for Providing Comments:

  • If you are providing comments on behalf of an organization, include the organization’s name and your contact information
  • If you are commenting as an individual, submit identifying or contact information
  • Please indicate which measure(s) you are commenting on
  • You may submit general comments on the entire set of measures or you may provide comments specific to individual measures
  • Do not include personal health information in your comments. Your comments may be shared publicly.

List of Currently Accepting Comments:

Project Title: Quality Measure Development and Maintenance for CMS Programs Serving Medicare-Medicaid Enrollees and Medicaid-Only Enrollees

Dates:

The Call for Public Comment period opens on January 3, 2019 and closes on January 18, 2019.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Mathematica Policy Research and its partners, Brandeis University, and the National Committee for Quality Assurance, to develop measures for the following populations of Medicaid beneficiaries:

  • People eligible for both Medicare and Medicaid, or “Dual eligible beneficiaries”
  • People receiving long-term services and supports (LTSS) through managed care organizations
  • People with substance use disorders; beneficiaries with complex care needs and high costs; beneficiaries with physical and mental health needs; or Medicaid beneficiaries who receive LTSS in the community

The contract name is Quality Measure Development and Maintenance for CMS Programs Serving Medicare-Medicaid Enrollees and Medicaid-Only Enrollees. The contract number is HHSM-500-2013-13011I, Task Order #HHSM-500-T0004.

Project Objectives:

The primary objectives of this three-year project are to:

  • Identify and prioritize candidate measures and measure concepts for development
  • Develop and refine measure specifications for priority measures
  • Conduct beta testing to evaluate measure importance, feasibility, usability, and scientific validity and reliability
  • Submit validated, reliable measures to the National Quality Forum (NQF) for endorsement

Documents and Measure for Comment:

This call for public comment concerns measure specifications and justification for a measure for Medicaid beneficiaries who receive LTSS in the community (home- and community-based service [HCBS] users). Specifically, this measure concerns new Medicaid LTSS beneficiaries who receive HCBS first before long-term institutional care services.

The Measure Information Form (MIF) and Measure Justification Form (MJF) are provided for your review and comment. The files can be found in the Download section.

Project Specific Instructions:

  • If you are providing comments on behalf of an organization, include the organization’s name and contact information.
  • If you are commenting as an individual, submit identifying or contact information.
  • Please do not include personal health information in your comments.
  • Send your comments to HCBSQualMeasures@mathematica-mpr.com. In the subject of your email or letter, please include the measure name or acronym and indicate whether you “support,” “support with modifications,” or “do not support” the measure.

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Project Title: Development of Inpatient Outcome Measures for the Merit-based Incentive Payment System

Dates:

The Call for Public Comment period opens on November 29, 2018 and closes on January 4, 2019.

Project Overview:

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale New Haven Health Services Corporation/Center for Outcomes Research & Evaluation (CORE) to adapt claims-based hospital measures to assess the quality of care provided to Medicare beneficiaries by clinicians or clinician groups who are eligible to participate under the Merit-based Incentive Payment System (MIPS). The contract name is Development, Reevaluation, and Implementation of Hospital Outcome/Efficiency Measures for Hospital and Eligible Clinicians. The contract number is HHSM-500-2013-13018I, Task Order HHSM-500-T0001.

The primary goal of this project is to re-specify (or adapt) two hospital quality measures for the measurement of clinicians or clinician groups. The two measures CORE is re-specifying are the:

  1. Hospital-Wide All-Cause Unplanned Readmission Measure (hereafter “HWR measure”).
  2. Risk-Standardized Complication Rate Following Elective Primary Total Hip Arthroplasty and/or Total Knee Arthroplasty (hereafter “THA/TKA complication measure”).

The re-specified measures will assess each eligible clinician or clinician group’s readmission or complication rate, respectively, relative to that of other MIPS participating clinicians or clinician groups with similar patients. One measure, HWR, is already in use in the MIPS; this is an updated re-specification. The quality measure scores will be calculated using patient characteristics and outcomes documented on routinely submitted Medicare claims; therefore, the MIPS eligible clinicians or clinician groups whose performance will be assessed by the quality measures will not need to submit any additional data directly to CMS

Project Objectives:

The primary goal of this project is to gather expert and stakeholder input to inform quality measure development for patients with a range of acute and/or chronic conditions, or patients undergoing elective procedures. CMS will use the measures to evaluate the quality of care provided by MIPS eligible clinicians or clinician groups.

Documents and Measures for Comment:

The following documents are provided for your review and comment. The files are found below in the Download section.

  1. For the HWR measure: “Measure Methodology Report for Public Comment: Clinician and Clinician Group Hospital-wide All-cause Unplanned Readmission Measure,” which presents the approach to measure development, measure specifications, and results of measure testing.
  2. For the THA/TKA complication measure: “Measure Methodology Report for Public Comment: Clinician and Clinician Group Risk-Standardized Complication Rate Following Elective Primary Total Hip Arthroplasty and/or Total Knee Arthroplasty,” which presents the approach to measure development, measure specifications, and results of measure testing

Project Specific Instructions:

Comments may be submitted electronically:

  • CMS encourages you to submit comments electronically on one or both of the two measures under development.
    • If you are providing comments on behalf of an organization, please include the organization’s name and your contact information.
    • If you are commenting as an individual, please submit identifying or contact information.
  • Send your comments to CMSinpatientMIPSmeasures@yale.edu by 11:59 PM Eastern Standard Time on January 4, 2019.
    • Any attachments should be in Microsoft Word, Excel, or PDF format.
    • Please do not include personal health information (for example, date of birth, social security number, health insurance claim number) in your comment.
  • At the end of the public comment period, all public comments will be posted on this website.

CORE will also host listening sessions via webinar during the call for public comment. The listening sessions are an opportunity for stakeholders to learn about and provide feedback on the re-specified measures. The target audience for the listening sessions includes clinicians who provide care to Medicare beneficiaries, especially those included in one or the other measure, as well as organizations representing these clinicians and other interested stakeholders.

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Downloads:

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