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Strategic Vision for Physician Quality Reporting Programs

In March, 2015, the Centers for Medicare and Medicaid Services (CMS) released its strategic vision for physician quality reporting programs, describing a long-term vision for CMS’ physician quality reporting programs and a future for these programs to strive towards over the next several years.

The Physician Quality Reporting Programs Strategic Vision, or “Strategic Vision”, describes how CMS will build on its current quality measurement and public reporting to advance the goals and objectives for quality improvement. The “Strategic Vision” also recognizes the issues concerning changing from a private fee-for-service payment system to payment being based on the quality and cost of care provided. Driving healthcare quality improvement is a core function of CMS, as they are the largest healthcare payer in the United States with millions of Medicare beneficiaries and Medicaid enrollees. Their efforts are focused towards a system that delivers better care, efficient with health care dollars spent that keeps the population healthy.

The five principles which CMS believes will help foster an environment of quality measurement and public reporting for beneficiaries and enrollees are:

  • Input from patients, caregivers, and healthcare professionals will guide the programs.
  • Feedback and data drives rapid cycle quality improvement.
  • Public reporting provides meaningful, transparent, and actionable information.
  • Quality reporting programs rely on an aligned measure portfolio.
  • Quality reporting and value-based purchasing program policies are aligned.

CMS is already actively working towards the strategic vision statements through policies, programs, and other approaches. CMS will continue to build on accomplishments and move toward its vision for the future of optimizing quality reporting. They would like support from diverse stakeholders, including patients, caregivers, and healthcare professionals, in their vision for how quality measurement and public reporting can support their quality improvement efforts and improve healthcare quality nationwide.

Marc Ryan

Marc S. Ryan serves as MedHOK’s Chief Strategy and Compliance Officer. During his career, Marc has served a number of health plans in executive-level regulatory, compliance, business development, and operations roles. He has launched and operated plans with Medicare, Medicaid, Commercial and Exchange lines of business. Marc was the Secretary of Policy and Management and State Budget Director of Connecticut, where he oversaw all aspects of state budgeting and management. In this role, Marc created the state’s Medicaid and SCHIP managed care programs and oversaw its state employee and retiree health plans. He also created the state’s long-term care continuum program. Marc was nominated by then HHS Secretary Tommy Thompson to serve on a panel of state program experts to advise CMS on aspects of Medicare Part D implementation. He also was nominated by Florida’s Medicaid Secretary to serve on the state’s Medicaid Reform advisory panel.

Marc graduated cum laude from the Edmund A. Walsh School of Foreign Service at Georgetown University with a Bachelor of Science in Foreign Service. He received a Master of Public Administration, specializing in local government management and managed healthcare, from the University of New Haven. He was inducted into Sigma Beta Delta, a national honor society for business, management, and administration.

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