July 08, 2020
Specifically, the Business Group supported CMS efforts to refine various quality improvement programs, (namely the Hospital-Acquired Condition Reduction Program (HAC), Hospital Inpatient Quality Reporting Program (IQR)), to better adjust payments within Medicare FFS for quality and outcomes. Additionally, we support greater public disclosure of meaningful quality information, in this case disclosure of eCQMs data for the first time. The Business Group also expressed concerns about the use of private payer negotiated rates to reweight MS-DRGs for FFS reimbursement because they may not be representative, could lead to distortions and other problems.