(301) 657-9883
Looking Ahead in Quality Improvement

Looking Ahead in Quality Improvement

EconometricaOfficeBETHESDA, MD – In February, the Centers for Medicare & Medicaid Services (CMS) sponsored the CMS Quality Conference, an annual meeting of leaders and stakeholders dedicated to improving the quality, safety, and value of modern healthcare. Econometrica employees participated in this 3-day conference, which gathers the brightest in the field (including Government employees, providers, researchers, policymakers, professional society members, and others) to discuss several existing and future quality improvement initiatives. As the Affordable Care Act, the legislation that created many of these quality programs, celebrated its 10-year anniversary this March, the conference emphasized current and upcoming quality improvement programs. Econometrica has engaged with many of these models in the past; in this article, we highlight and look ahead to several key innovations discussed at the conference.

The Quality Payment Program (QPP) was the focus of many conference sessions. Created under the Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015, the QPP aims to improve care and reduce costs while also easing provider burden. Clinicians may choose to participate via two tracks: the Merit-Based Incentive Payment System (MIPS), or Advanced Alternative Payment Models (APM). Through MIPS, clinicians are reimbursed based on quality of care as measured by performance in four domains: quality, cost, improvement activities, and promoting interoperability. Scores on measures in these domains are aggregated into a final score that determines a payment adjustment. Clinicians may also receive incentive payments for participating in an Advanced APM. APMs are payment frameworks that offer incentive payments for the provision of high-quality, cost-efficient care. Under the QPP’s Advanced APM option, a 5-percent incentive is available for clinicians who meet threshold levels of payments or patients through an Advanced APM.
Conference sessions highlighted CMS’ plans for implementation of the new MIPS Value Pathways (MVP) framework for participation in QPP beginning in the 2021 performance period. The goal of MVPs is to simplify and lower reporting burden. MVPs allow clinicians to report on measures and activities that are specialty- or practice-specific with a base of interoperability measures and population health measures derived from administrative claims data.

Other innovative models highlighted at the conference include the Integrated Care for Kids model and the Maternal Opioid Misuse model. The Integrated Care for Kids model aims to address challenges in children’s health through early identification and treatment of health issues and improved quality of care for children. It promotes care coordination across providers and creates State-specific APMs to enhance payment for quality of care and outcomes. Model participants include Lead Organizations, which are made up of community partners; State Medicaid Agencies; and Partnership Councils. The Maternal Opioid Misuse model is one of CMS’ models designed to respond to the opioid crisis by targeting the lack of coordination of care for pregnant and postpartum patients with Opioid Use Disorder. It further looks to increase access to necessary services and the availability of care providers for pregnant and postpartum women with Opioid Use Disorder.

Econometrica is excited to be part of such a vibrant conversation about the future of quality improvement! We look forward to continuing to work with CMS and other leaders in the field to drive healthcare innovations that promote the provision of high-quality care at efficient cost.

About Econometrica:

Founded in 1998, Econometrica is a research and management organization in Bethesda, MD, established to provide public- and private-sector clients with customized program support services. Econometrica works with multiple agencies to provide high-quality, cost-effective analyses, modeling, and economic evaluations. The company consistently receives exceptional scores from its clients and believes in three principles: technical capabilities, happy customers, and business development.

Econometrica is excited to be part of such a vibrant conversation about the future of quality improvement! We look forward to continuing to work with CMS and other leaders in the field to drive healthcare innovations that promote the provision of high-quality care at efficient cost.

Press Contact

Jonathan Fusfield

Kidney Health Executive Order Policy Review

Kidney Health Executive Order Policy Review

KIdneysBETHESDA, MD – The Health Group of Econometrica conducted a review of the Kidney Health Executive Order passed by President Trump on July 10, 2019 . This essential decision impacts programs operated by the Centers for Medicare & Medicaid Services (CMS), health providers, kidney patients, and the availability of resources dedicated to treatment . Econometrica is committed to staying informed of decisions like these to better serve the interests of our clients .

In addition to the report, Econometrica also created downloadable Kidney Health White Paper

About Econometrica:

Founded in 1998, Econometrica is a research and management organization in Bethesda, MD, established to provide public- and private-sector clients with customized program support services. Econometrica works with multiple agencies to provide high-quality, cost-effective analyses, modeling, and economic evaluations. The company consistently receives exceptional scores from its clients and believes in three principles: technical capabilities, happy customers, and business development.

The most common risk factors of CKD are diabetes, which causes kidney damage due to excess sugar, and high blood pressure, which can cause damage to the blood vessels in the kidneys over time.

Press Contact

Jonathan Fusfield

Check out our report and downloadable infographics.

View Related Posts

No Results Found

The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.

Econometrica Participates in CMS Rural Maternal Health Forum

Econometrica Participates in CMS Rural Maternal Health Forum

MaternalHealthCareBETHESDA, MD – The Econometrica Team contributed to an important discussion on actionable ways to improve maternal health outcomes in rural areas.

On June 12, Econometrica employees joined A Conversation on Maternal Health Care in Rural Communities: Charting a Path to Improved Access, Quality, and Outcomes, a collaborative forum hosted by the Center for Medicare & Medicaid Services (CMS) in conjunction with several of its partners. The event gathered providers, researchers, policymakers, professional society members, and other stakeholders to discuss the state of maternal healthcare in rural areas and identify key priority areas and action steps to improve outcomes.

The event consisted of panels featuring key leaders in the field as well as a working lunch. Attendees created a set of key priorities and action steps for solutions under categories such as health disparities, clinical/quality improvement, social determinants of health, payment, public education and public health, workforce, and legislation. The concluding facilitated discussion delved deeper into a few of the identified priorities to identify actionable steps towards improving outcomes.

Some of the key takeaways from the session were the broad racial, ethnic, and income inequities in terms of access and health outcomes in maternal health. One presenter explained that equity is more than just an open door—it means providing equitable, culturally conscious care to people with different needs once they get to facilities. Additionally, the social determinants of health are major drivers of health outcomes in rural areas. Community Health Workers and Community Health Extension Workers can have major impacts on rural populations working in conjunction with rural-based midwives. These human resources can help with the management of a number of chronic conditions that are prevalent in rural communities.

Many presenters and attendees emphasized the importance of expanding Medicaid at the State level in addressing rural health issues. Expanding Medicaid reimbursements for the cost of care is critical (e.g., by extending Medicaid to cover services through 12 months postpartum, exploring Alternative Payment Model options, and expanding Medicaid coverage to more services such as telemedicine and doulas). Providers also emphasized the need for open source data due to difficulties for rural hospitals in collecting their own data. Workforce training is another key opportunity to improve access to maternal healthcare through loan repayment opportunities and rural residency trainings that encourage rural inhabitants to train and remain in their hometowns to practice.

Econometrica is excited to be part of such a vibrant and productive conversation with so many key leaders in the field. It was a great day!

About Econometrica:

Founded in 1998, Econometrica is a research and management organization in Bethesda, MD, established to provide public- and private-sector clients with customized program support services. Econometrica works with multiple agencies to provide high-quality, cost-effective analyses, modeling, and economic evaluations. The company consistently receives exceptional scores from its clients and believes in three principles: technical capabilities, happy customers, and business development. 

Econometrica will support Indiana University and the Industrial Heartland Project by providing expertise in qualitative research.

Press Contact

Jonathan Fusfield

Read more about CMS’ rural health initiative here.

Econometrica to Provide Research, Analytics, and Data Preparation Services to Support the Open Payments Program

Econometrica to Provide Research, Analytics, and Data Preparation Services to Support the Open Payments Program

Doctor ipadBETHESDA, MD  – Econometrica, Inc., was recently awarded a contract by the Centers for Medicare & Medicaid Services (CMS) to provide research, analytics, and data preparation services to support the Open Payments program.

Under this contract, Econometrica and its partner, Acumen, LLC, will prepare standing analytics and data products, analyze program compliance, and carry out ad hoc analyses and special studies as they arise.

To increase transparency, the Affordable Care Act mandated the Open Payments program to provide the public with information regarding the financial relationships between the healthcare industry—pharmaceutical and medical device manufacturers and distributors—and healthcare providers—physicians and teaching hospitals.

Open Payments requires applicable manufacturers and Group Purchasing Organizations (GPOs) to annually report payments and other transfers of value made to physicians and teaching hospitals. Certain information regarding the ownership or investment interests held by physicians or their immediate family members in applicable manufacturers and GPOs must also be reported. The Open Payments mandate requires CMS to compile the submitted data, check them for accuracy, and publish the data on a public website.

Increasing transparency helps improve the public’s trust in healthcare. Econometrica worked on many projects in the past with CMS, including the Development, Implementation, and Maintenance of Quality Measures for the Programs of All-Inclusive Care for the Elderly project and the Evaluation and Monitoring of the Bundled Payments for Care Improvement Model 1 Initiative. Econometrica is proud to continue working to impact the quality of care.

“Our experts in data and analytics look forward to using their skills to support the Open Payments program, serving CMS and the public,” said Cyrus Baghelai, Econometrica’s President and CEO. “In the next few years, this program will likely expand exponentially. Econometrica looks forward to supporting CMS through this transition and to providing the public with more information about how healthcare providers are being compensated by the healthcare industry.”

About Econometrica:

Founded in 1998, Econometrica is a research and management organization in Bethesda, MD, established to provide public- and private-sector clients with customized program support services. Econometrica works with multiple agencies to provide high-quality, cost-effective analyses, modeling, and economic evaluations. The company consistently receives exceptional scores from its clients and believes in three principles: technical capabilities, happy customers, and business development.

Econometrica and its partner, Acumen, LLC, will prepare standing analytics and data products, analyze program compliance, and carry out ad hoc analyses and special studies as they arise.

Press Contact

Kurt von Tish