Meaningful Measures 2.0: Moving from Measure Reduction to Modernization

Meaningful Measures 2.0: Moving from Measure Reduction to Modernization

CMS is building on the success of the Meaningful Measures initiative and needs your input to shape Meaningful Measures 2.0. When first introduced in 2017, Meaningful Measures’ objective was to reduce the number of Medicare quality measures and ease the burden on users. Since the launch of Meaningful Measures, CMS has reduced the number of Medicare quality measures by 18 percent, saving more than 3 million hours of time and a projected $128 million.

Although the original Meaningful Measures initiative accomplished its initial goals, its scope and purpose have evolved to keep pace with a rapidly changing healthcare environment. With Meaningful Measures 2.0, CMS will not only continue to reduce the number of measures in its programs but will further shape the entire ecosystem of quality measures that drive value-based care. Meaningful Measures 2.0 will promote innovation and modernization of all aspects of quality, addressing a wide variety of settings, stakeholders, and measurement requirements.

CMS also plans to update and simplify the Meaningful Measures Framework as part of the broader initiative. As shown in the graphic, the draft Framework is currently structured with fewer priorities, focusing on measures related to person-centered care, equity, safety, affordability and efficiency, chronic conditions, wellness and prevention, seamless care coordination, and behavioral health. With Meaningful Measures 2.0, CMS plans to better address health care priorities and gaps, emphasize digital quality measurement, and promote patient perspectives.

The framework is organized like a house with depictions of people and providers at the top, followed by 8 domains (person-centered care, equity, safety, affordability and efficiency, chronic conditions, wellness and prevention, seamless care coordination, and behavioral health) and the foundation across the bottom being 'consumer and caregiver voice'.

Priorities & Measure Gaps

Meaningful Measures 2.0 will be designed to address measurement gaps, reduce burden, and increase efficiency by:

  • Utilize only quality measures of highest value and impact focused on key quality domains.
  • Align measures across value-based programs and across partners, including CMS, federal, and private entities.
  • Prioritize outcome and patient reported measures.
  • Transform measures to fully digital by 2025, and incorporate all-payer data.
  • Develop and implement measures that reflect social and economic determinants.

Digital Quality Measurement

Meaningful Measures 2.0 will emphasize digital quality measures (dQMs), which originate from sources of health information that are captured and can be transmitted electronically and via interoperable systems. CMS will continue to improve its digital strategy by:

  • Using Fast Healthcare Interoperability Resources (FHIR)-based standards to exchange clinical information through application programming interfaces (APIs), allowing clinicians to digitally submit quality information one time that can then be used in many ways.
  • Accelerating the transition to fully electronic measures.
  • Working across CMS to use artificial intelligence to identify quality problems before patients are harmed and intervene accordingly.
  • Developing more APIs for quality measure data submission and interoperability.
  • Harmonizing measures across registries.

Patient Perspectives

The updated initiative will promote better collection and integration of patient voices across CMS programs by:

  • Simplifying how to use Patient-Reported Outcome (PRO) Measures and addressing their integration into the electronic health record (EHR) workflow.  
  • Developing PRO measures that are embedded into the workflow, may be accessed through an API or patient portal, improve ease of use, and reduce reporting burden.
  • Using NIH-developed Patient-Reported Outcomes Measurement Information System (PROMIS) tools.
  • Working across CMS to use “Self-Reported Health” as an agency-wide key result that reflects the patient’s voice around quality of care.

Next Steps

Meaningful Measures 2.0 is currently under development, and CMS needs your feedback to finalize it. Email your comments to the CMS Meaningful Measures email at

Not sure where to start? Consider these few questions:

  • Are there gaps in the updated Meaningful Measures Framework?
  • Are there barriers or challenges to implementing the proposed changes and goals?
  • Should Meaningful Measures 2.0 address the COVID-19 pandemic? If so, what should CMS incorporate into the initiative and how should it be incorporated?



Page Last Modified:
03/31/2021 02:33 PM