6 Proposed Quality Measures in CMS' New APM Performance Pathways (APP) Model for ACOs or other APMs

  1. CAHPS for MIPS survey results (a patient experience measure)
  2. Diabetes: Hemoglobin A1c (HbA1c) Poor Control (an existing measure of chronic disease management)
  3. Preventive Care and Screening: Screening for Depression and Follow-up Plan (an existing measure of chronic disease management)
  4. Controlling High Blood Pressure (an existing measure of chronic disease management)
  5. Hospital-Wide
  6. 30-day
  7. All-Cause Unplanned Readmission (HWR) Rate for MIPS Eligible Clinician Groups (a claims-based population health measure)
  8. Risk Standardized
  9. All-Cause Unplanned Admissions for Multiple Chronic Conditions for ACOs (a claims-based population health measure)
Notes: The APP model proposes to reduce the number of quality measures for ACOs in 2021 from 23 to 6. APM denotes an Alternative Payment Model; APP denotes APM Performance Pathways; MIPS denotes the Merit-based Incentive Payment System. CAHPS is the Consumer Assessment of Healthcare Providers and Systems, a program of the Agency for Healthcare Research and Quality.

Source: 2021 Quality Payment Program Proposed Rule Overview Fact Sheet, U.S. Centers for Medicare and Medicaid Services - https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1100/2021%20QPP%20Proposed…

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