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Adoption Of Core Quality Measures Collaborative Core Measure Sets

by AHIP

March 22, 2018

Executive Summary

The Core Quality Measures Collaborative (CQMC) is a multi-stakeholder, voluntary effort created to promote measure alignment and harmonization across public and private payers. The collaboration aims to add focus to quality improvement efforts, reduce the reporting burden for providers, and offer consumers actionable information to help them make decisions about where to receive their care.

Participants in the CQMC include America’s Health Insurance Plans (AHIP), the Centers for Medicare and Medicaid Services (CMS), the Blue Cross Blue Shield Association, primary care and specialty societies, and consumer and employer groups. In February 2016, the CQMC released core quality measures in seven clinical areas of practice: Accountable Care Organizations (ACO)/Patient-Centered Medical Homes (PCMH)/Primary Care (PC), Cardiology, Gastroenterology, HIV/Hepatitis C, Medical Oncology, Obstetrics and Gynecology (OB/GYN), and Orthopedics.

The AHIP Foundation undertook a study to assess the extent to which the measures are being adopted and incorporated into provider contracts. Through a combination of health plan surveys and semi-structured interviews with CQMC participating organizations, the study also looked at challenges plans face in adopting the core measures and the perspectives of providers, consumer groups, and employer organizations relative to adoption.

To receive a full copy of the report, please contact:

Chinwe Nwosu
Director of Clinical Affairs
America’s Health Insurance Plans
cnwosu@ahip.org

Download full executive summary below: