2016-02-16 19:23:21 UTC

CMS, Major Commercial Health Plans Announce Alignment of Quality Measures

Feb. 17, 2016

AGA was integral in providing input into the core GI measures.

The CMS-led Core Quality Measures Collaborative has released seven sets of of clinical quality measures, including a measure set for gastroenterology that AGA has closely worked on with the agency. Gastroenterology measures topics include colorectal cancer screening and surveillance, HCV, and IBD.

AGA has been integral in providing input into the selection of gastroenterology measures by working over the past year with CMS, America’s Health Insurance Plans (AHIP), Medicare and Medicaid managed care plans, purchasers, physician and other care provider organizations, as well as consumers. The measures support multi-payor alignment on core measures primarily for physician quality programs, in order to help streamline quality reporting for providers and make the process less confusing and complex. 

“AGA’s involvement in the Core Quality Measures Collaborative is under the leadership of John I. Allen, MD, MBA, AGAF, past-president of AGA Institute, and Ziad Gellad, MD, MPH, chair of the AGA Quality Measures Committee,” said Michael Camilleri, MD, AGAF, president, AGA Institute. 

“AGA is committed to working with CMS, AHIP and other organizations to develop and validate outcomes-based quality metrics, which are vital to enhance quality and develop fair and appropriate reimbursement for the practice of gastroenterology and hepatology. We will also continue working with EHR vendors to incorporate these and future metrics into EHR systems. The goal of the integration with EHR systems is ultimately to enhance documentation of quality in the practice, which will be integral to the future of value-based payments," Dr. Camilleri added. 

Implementation of the measures will occur in several stages. The collaborative will continue to monitor progress, invite broader participation, and add additional measures and measure sets.

Review more information about the collaborative’s core measures.

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