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AHIP, CMS, & National Quality Forum Officially Formalize CQMC

by Cathryn Donaldson

December 4, 2018

WASHINGTON, D.C. –  A majority of Americans receive care through a value based care arrangement, one that ties payment to the quality of care. It’s important to ensure that the right quality measures are in place across all payers to deliver results that will lead to a stronger, better health care system and reduce clinician burden. To achieve that goal, the Centers for Medicare and Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP) – in partnership with the National Quality Forum (NQF) – have officially formalized the Core Quality Measures Collaborative (CQMC) to improve health care quality for every American.

“Multiple quality measures are currently used to evaluate healthcare performance, which may be different across payers or settings,” said Kate Goodrich, Director of the Center for Clinical Standards and Quality and CMS Chief Medical Officer. “CMS and AHIP are committed to a collaborative effort to improve alignment and consensus around the most important, meaningful quality measures and to ensure that these are deployed across many settings in a unified approach. This will not only help patients better understand and evaluate their own healthcare, but will also reduce the burden and redundancy for clinicians and healthcare organizations. This is why the work of CQMC is so important. We believe this is the beginning of a new era in patient care and empowerment, and we celebrate the advancement of alignment to promote more actionable and useful quality information. Further, the CQMC work supports CMS’ Meaningful Measures initiative, which takes a new approach to quality measures to reduce the burden of reporting on all providers by assessing those core issues that are the most vital to providing high-quality care and improving patient outcomes.”

Originally founded in 2015, the CQMC is a broad-based coalition of health care leaders, including CMS, health insurance providers, primary care and specialty societies, and consumer and employer groups.  These leaders have worked together to achieve an industry consensus on core measure sets to measure the quality of American health care. This collaborative effort is committed to:

  • promoting quality measure alignment across the public and private health care sectors;
  • reducing the reporting burden that measurement causes for providers;
  • improving care quality and health outcomes; and
  • offering consumers actionable information about provider performance to help them make decisions about where to receive their care;

“Every American deserves access to quality, affordable and efficient health care,” said Danielle Lloyd, CQMC Chair and AHIP Senior Vice President of Clinical Innovations. “This next step reinforces the critical role CQMC and the core quality measures will play in improving care quality and ensuring the value of care is always prioritized over the volume – placing patients at the center of everything we do.”

NQF will provide expertise to the CQMC on updating existing core measure sets and expanding into new clinical areas. NQF will also work collaboratively with CQMC members to develop strategies for facilitating implementation across care settings and promote measure alignment.

“Increasing quality measure alignment allows providers and clinicians to focus on what matters most – their patients, said Shantanu Agrawal, MD, MPhil, NQF’s President and CEO. “Our collaborative partnership with AHIP and CMS helps the CQMC lead the way in promoting patient-centered quality care.”

The CQMC is comprised of over 55 member organizations and overseen and governed by the CQMC Steering Committee – comprised of experts from insurance providers, businesses, primary care and specialty societies, patient groups, measurement experts, and regional leaders.

The CQMC and its well-recognized core quality measures sets are now live on the NQF website which can be found here.