HHS releases final set of quality measures for Medicaid-eligible adults

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The Department of Health and Human Services published its final core set of 26 quality measures for adult Medicaid beneficiaries in the Federal Register today.

Healthcare providers and insurers can use the measures voluntarily to track care delivery among adults enrolled in Medicaid, as well as monitor and improve quality.

The 26 measures, which were mandated by the Affordable Care Act, were narrowed from an initial set of 51 proposed in December 2010. According to HHS, many of the criticisms the rule received during the comment period were related to the high number of measures. The final rule comprises six major categories:

  • Prevention and health promotion
  • Management of acute conditions
  • Management of chronic conditions
  • Family experiences of care
  • Care coordination
  • Availability of care

Click here to read the full rule in the Federal Register.

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