Shaping Medicare’s Health Care Regulations

Abstract

Every year the Centers for Medicare & Medicaid Services (CMS) publishes numerous regulations that influence health care delivery and are important to clinicians, health care organizations, suppliers, and beneficiaries across the US. 1 The regulations strive to create transparent rules for more than 17 different types of health care organizations and suppliers to participate in and get paid by Medicare.

Medicare Overall Hospital Star Rating and Value Based Purchasing: What You Need to Know

“…In the United States since 2004, the Centers for Medicare & Medicaid Services (CMS) has required public reporting of quality measures 1 . CMS establishes requirements for participation in Medicare and reimbursements to promote quality and safety at a national level 2 . CMS considers multiple competing priorities, perspectives, and scientific evidence and data when developing new regulations 2 .…”

“…CMS establishes requirements for participation in Medicare and reimbursements to promote quality and safety at a national level 2 . CMS considers multiple competing priorities, perspectives, and scientific evidence and data when developing new regulations 2 . In 2015, CMS released its first Hospital Star Rating, which assigned each US acute care hospital a score from 1 star to 5 stars 3 .…”

“…2 CMS considers multiple competing priorities, perspectives, and scientific evidence and data when developing new regulations. 2 In 2015, CMS released its first Hospital Star Rating, which assigned each US acute care hospital a score from 1 star to 5 stars. 3 Three major programs have also been implemented to improve the quality, safety, and efficiency of care provided to Medicare beneficiaries by the Affordable Care Act.…”