What Is the Measure of a Measure?

To ensure that measures meet the needs of those who use them, it is important to manage the quality, the impact, and the value of the information they produce. Regulatory and governmental organizations require the reporting of financial and clinical patient-level data for performance measurement. Some of these programs incorporate a payfor-performance component such that healthcare organizations and clinicians are held accountable for their performance by variation in reimbursement.22 The Affordable Care Act allows the Centers for Medicare and Medicaid Services (CMS) to develop new models of payment for care that shares cost savings between CMS and the accountable-care organizations (ACOs). These payments are ...

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