In The News

Download New Resources to Guide Advanced Illness Care

National Quality Partners (NQP) announces two new resources to ensure high-quality, person-centered advanced illness care.

NQP’s Case Study, Integrating Personal Preferences in Advanced Illness Care, follows Hazel, a 63-year-old-woman diagnosed with advanced lung cancer as she transitions through the healthcare system, from inpatient and post-acute care to palliative and hospice care. The case study illustrates how measures can support the six key preferences of person-centered advanced illness care identified in the NQP issue brief. More than 400 people participated in the March 15 launch of this case study. Listen to and share the virtual forum recording.

According to JAMA, 68% of physicians report feeling inadequately trained to discuss end-of-life care with patients. NQP’s Fact Sheet, Strategies for Change—A Collaborative Journey to Transform Advanced Illness Care, gives physicians, clinicians, and other providers questions to help guide conversations with patients, their families, and caregivers and further support person-centered advanced illness care.

NQP’s Advanced Illness Care Action Team (PDF) has issued a national call to action for healthcare systems, communities, policymakers, and other stakeholders to ensure that individuals with advanced illness, their families, and caregivers are at the center of care decisions. Learn more about this initiative.

HHS Launches Webpage Highlighting Administrative Actions to Empower Patients

March 20, 2017 

This week the Health and Human Services Department launched a new page on highlighting the regulatory and administrative actions the Department is taking to relieve the burden of the current healthcare law and support a patient-centered healthcare system.

“We’re taking action to improve choices for patients, stabilize the individual and small-group insurance markets, and expand access to more affordable coverage,” said Secretary Tom Price, M.D. “This page will be the place to go for updates on our ongoing efforts.”

The actions are part of a broader plan to repeal and replace the Affordable Care Act.

Click here to see the newly launched webpage explaining the Department’s actions.
New measures will be announced as soon as is allowable by law. In particular, future actions will:

  • Lower costs and increase choices by providing relief from the burdensome regulations and fostering competition in insurance markets;
  • Work to ensure a stable transition period;
  • Offer states greater flexibility of their Medicaid programs to meet the needs of their most vulnerable populations; and
  • Increase the opportunities for patients to get the care they need when they need it.

Visit the Educational Resources Page for New Materials on the Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) recently posted new resources to the Quality Payment Program website to help clinicians successfully participate in the first year of the Quality Payment Program.

CMS encourages these clinicians to visit the website to review the new materials and information, including:

MIPS Measures for Cardiologists –  This brand new resource provides a non-exhaustive sample of measures for Quality, Advancing Care Information, and Improvement Activities that may apply to cardiologists participating in MIPS.

Alternative Payment Models (APMs) in the Quality Payment Program – Includes a comprehensive list of all APMs operated by CMS, including Advanced APMs and MIPS APMs for the Quality Payment Program.

Support for Small Practices – Contains contact information for the local, experienced organizations that will help clinicians in small and rural practices participate in the Quality Payment Program.

Review Draft Measure Packages for Electronic Clinical Quality Measures Used in CMS Quality Reporting Programs

The Centers for Medicare & Medicaid Services invites vendors and stakeholders to review and provide feedback on draft electronic clinical quality measure (eCQM) measure packages that include logic and header changes for eCQMs under consideration for CMS quality reporting and payment programs. This opportunity will allow CMS to learn from EHR vendors who have the technical capabilities to test the Health Quality Measures Format (HQMF) code by directly consuming machine readable XML files for eCQMs. Testing will help CMS to identify instances in which XML code produces errors so that issues can be resolved prior to posting the fully specified measures this spring. The measures in both HTML and XML formats will be available through March 28, 2017.

The draft measure packages are now available on the ONC CQM Issue Tracker via the following tickets:

  • Eligible hospital and critical access hospital measures (CQM-2550)
  • Eligible professional and eligible clinician measures (CQM-2551)

The updated eCQMs will be posted in Spring 2017 and will reflect 4.3 of the Quality Data Model (QDM). Measures will not be eligible for 2018 reporting unless and until they are proposed and finalized through notice-and-comment rulemaking for each applicable program.

Please report questions and comments regarding the draft measure packages to the ONC CQM Issue Tracker tickets listed above.

Connected Care: New Educational Initiative to Raise Awareness of Chronic Care Management

March 15, 2017

Today, the Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) and the Federal Office of Rural Health Policy at the Health Resources and Service Administration (HRSA) introduced Connected Care, an educational initiative to raise awareness of the benefits of chronic care management (CCM) services for Medicare beneficiaries with multiple chronic conditions and to provide health care professionals with support to implement CCM programs. Connected Care is a nationwide effort within fee-for-service Medicare that includes a focus on racial and ethnic minorities as well as rural populations, who tend to have higher rates of chronic disease.

Two-thirds of Medicare beneficiaries have two or more chronic conditions, and one-third have four or more chronic conditions. Many health care professionals are providing these patients with chronic care management, non-face-to-face services such as reviewing test results or coordinating with other providers,but are not aware of the separate payments under the Medicare Physician Fee Schedule and are not receiving the full separate payments that are now available for CCM services under Medicare Part B.

“This important initiative builds on our efforts to help providers care for patients with multiple chronic conditions. We are excited to be working with the Health Resources and Services Administration to reach vulnerable populations,” said Cara James, PhD, Director of the Centers for Medicare & Medicaid Services Office of Minority Health.

As part of the Connected Care education initiative, CMS and HRSA or FORHP developed new resources to help educate patients and provide information for health care professionals. Some of the resources include:

• A toolkit for health care professionals with detailed information about CCM, and resources to help providers implement CCM;

• A partner toolkit that includes downloadable resources and suggested activities to get involved in the Connected Care initiative; and

Patient education resources, including a poster and postcard that can be used in a clinical or community setting.

All resources are available online at and can be ordered at no cost.

“We are thrilled to be joining CMS to educate health care professionals and patients about the value of chronic care management with the goal of improving overall patient care for millions of Americans and reducing overall health care costs,” said Tom Morris, Associate Administrator, Federal Office of Rural Health Policy at the Health Resources and Services Administration.

By offering CCM services, health care professionals can deliver the coordinated care their patients need and deserve and help patients stay on track by getting support between visits.

For more information on how to get involved with the CCM initiative and learn more about chronic care management, visit

Later today @ 3pm ET —A webinar will be held to kick-off our new initiative on chronic care management. You may register for this webinar today at

Secretary Price Statement on CBO Report

March 13, 2017

Health and Human Services Secretary Tom Price, M.D., released the following statement today on the Congressional Budget Office (CBO) report on the American Health Care Act:

"The CBO report's coverage numbers defy logic. They project that zeroing out the individual mandate – allowing Americans to choose whether to have insurance – will result in 14 million Americans opting out of coverage in one year. For there to be the reductions in coverage they project in just the first year, they assume five million Americans on Medicaid will drop off of health insurance for which they pay very little, and another nine million will stop participating in the individual and employer markets. These types of assumptions do not translate to the real world, and they do not accurately estimate the effects of this bill.

"The CBO report also does not incorporate two-thirds of the healthcare reform plan President Trump has called for – specifically the regulatory relief HHS can provide and the additional legislative reforms Congress is and will be pursuing. Our three-pronged approach will free patients to purchase coverage that works best for them at a price they can afford. Doctors and patients understand that, especially under current law, having coverage is not the same thing as having access to the care one wants or needs. Our approach will provide Americans with relief from the collapsing healthcare law, which never delivered on the benefits projected by the Congressional Budget Office in the first place."

Offering states flexibility to increase market stability and affordable choices

Providing opportunity through Section 1332 State Innovation Waivers

March 13, 2017

Today, the Department of Health and Human Services (HHS), in partnership with the Department of the Treasury, suggested ways to help foster healthcare innovation by giving states greater flexibility.

"States need the flexibility to develop innovative healthcare models that will improve patient access to care, increase affordability and choices offered, lower premiums, and improve market stability," said Health and Human Services Secretary Tom Price, M.D. "Today's letter highlights State Innovation Waivers as opportunities for states to modify existing laws or create something entirely new to meet the unique needs of their communities."

Read more about today's announcement.

Roles of CMS and CDC in the Medicare Diabetes Prevention Program (MDPP) Expansion - March 22 Webinar Announced

The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) will be hosting a co-led webinar on Wednesday, March 22nd from 1:00-2:00 p.m. EDT. The webinar will provide an overview of Medicare Diabetes Prevention Program Model (MDPP) expansion and the CDC Diabetes Prevention Recognition Program (DPRP), the requirements for pending and full CDC DPRP recognition, review the CDC recognition in the 2017 Physician Fee Schedule (PFS), and next steps for organizations thinking of offering MDPP. Registration is now open.

For more information, please visit the Medicare Diabetes Prevention Program Model (MDPP) web page.

AHRQ’s EvidenceNOW Initiative Estimates Heart Health Needs in Primary Care

AHRQ’s EvidenceNow, an initiative that supports smaller primary care practices’ efforts to improve heart health, has found that participating practices regularly provide evidence-based care while recognizing the potential to improve on one or more of the heart health clinical services known as the ABCS: Aspirin use for high-risk individuals, Blood pressure control, Cholesterol management, and Smoking cessation counseling. EvidenceNOW provides support services typically not available to smaller primary care practices to help them improve the care they deliver. Baseline data from more than 1,000 primary care practices participating in EvidenceNOW indicate that while an average of more than 50 percent of patients are receiving each of the ABCS services, many practices have not yet reached the EvidenceNOW goal of 70 percent.

Read more in a new AHRQ Views blog post by the Agency’s Chief Medical Officer David Meyers, M.D.