As the largest payer of healthcare services in the United States, CMS continuously seeks ways to improve the quality of health care. CMS manages quality programs that address many different areas of health care. These programs encourage improvement of quality through payment incentives, payment reductions, and quality improvement activities. These programs also increase transparency in health care through expanded public reporting of performance results by health care providers.
CMS’ strategic vision for its quality reporting programs are defined in five statements:
- CMS quality reporting programs are guided by input from patients, caregivers, and healthcare professionals.
- Feedback and data drive rapid cycle quality improvement.
- Public reporting provides meaningful, transparent, and actionable information.
- Quality reporting programs rely on an aligned measure portfolio.
- Quality reporting and value-based purchasing program policies are aligned.
CMS Quality Reporting Programs and Quality Initiatives
Each of the quality programs and initiatives below links to a web page containing additional information about the program/initiative operated by CMS and/or other HHS organizations.
Quality Reporting Programs
- Ambulatory Surgical Center Quality Reporting
- Home Health Quality Reporting Program
- Hospice Quality Reporting
- Hospital Inpatient Quality Reporting
- Hospital Outpatient Quality Reporting
- Inpatient Psychiatric Facility Quality Reporting (IPFQR)
- Inpatient Rehabilitation Facility (IRF) Quality Reporting
- Long-Term Care Hospital Quality Reporting
- Prospective Payment System-Exempt Cancer Hospital Quality Reporting (PCHQR)
- Skilled Nursing Facility Quality Reporting
Value-Based Care Programs
- Appropriate Use Criteria Program
- Bundled Payments for Care Improvement (BPCI) Advanced
- Comprehensive Primary Care Initiative
- End-Stage Renal Disease Quality Incentive Program (ESRD QIP)
- Home Health Value Based Purchasing (HHVBP)
- Hospital Acquired Condition Reduction Program (HACRP)
- Hospital Readmissions Reduction Program (HRRP)
- Hospital Value-Based Purchasing (VBP) Program
- Medicaid Promoting Interoperability Program: Eligible Professionals
- Medicare and Medicaid Promoting Interoperability: Eligible Hospitals and Critical Access Hospitals
- Medicare Shared Savings Program
- Merit-Based Incentive Payment System (MIPS) Program
- Promoting Interoperability (formerly the Medicare and Medicaid EHR Incentive Programs)
- Quality Improvement Organizations
- Quality Payment Program
- Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program
- Dialysis Facility Compare
- Home Health Compare
- Hospice Compare
- Hospital Compare (learn more about Hospital Compare)
- Inpatient Rehabilitation Facility Compare
- Long-term Care Hospital Compare
- Nursing Home Compare
- Physician Compare Initiative (learn more about Physician Compare)
Other Quality Improvement Programs and Initiatives
- Post-Acute Care Quality Initiatives
- Medicare Part C Star Rating (PDF)
- Medicare Part D Star Rating (PDF)
- Nursing Home Quality Initiative
- Health Insurance Marketplace Quality Initiatives
- Medicaid-related programs
- Medicare Advantage Quality Improvement Program
- Million Hearts
- Program of All-Inclusive Care for the Elderly (PACE)